Second branchial cleft anomalies

Grohmann, Nathan C.; Herrington, Heather

doi:10.1016/j.otot.2017.05.013

Cited by 4 publications

(7 citation statements)

References 10 publications

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“…Fistulae tracts are generally noticed in infancy or childhood and have chronic drainage from the opening occasionally accompanied by infection and inflammation at the anterior border of the SCM in the lower third of the neck [12]. Thirty-two percent of patients with branchial anomalies may present with infection before diagnosis, and recurrence rates increase when multiple preoperative infections occur [3,13]. However, there was no history of any severe infection, swelling or pain with our case, only a few occurrences of redness around the openings of the skin.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of a genetic disorder has to be considered when a patient presents with bilateral second branchial cleft fistulae [3,5]. Branchio-oto-renal (BOR) syndrome is associated with bilateral fistulae of the first and second branchial arches, and 66% of cases of bilateral second branchial cleft fistulae are correlated with BOR syndrome [5,14].…”

Section: Discussionmentioning

confidence: 99%

“…Two external skin openings were injected with methylene blue dye to depict the fistulae in this case. Methylene blue injection in the fistula tract facilitates to delineate the course of the tract, and the presence of methylene blue in the throat can also definitively confirm a fistula [1,3,11]. However, if the fistula tract filled with methylene blue is punctured or injured accidentally, the spreading dye in the surrounding tissue may make the dissection work difficult.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical manifestations of branchial malformations include cysts, sinus tracts, and fistulae that may present as unilateral or bilateral lesions [1,2]. The second branchial apparatus develop into the hyoid bone, palatine tonsil, tonsillar fossa, and the adjacent area of the neck [1,3]. Anomaly of second branchial cleft fistulae commonly occurs with a skin opening at the lower third of the anterior border of the sternocleidomastoid (SCM) muscle and the tract ultimately enters the tonsillar fossa [1,3].…”

Section: Introductionmentioning

confidence: 99%

“…Second branchial cleft anomalies represent the most commonly reported type and account for approximately 69%-95% of all branchial malformations [3], but bilateral lesions are very rare, accounting for 2%-3% of cases [4][5][6]. Among bilateral second branchial anomalies, fistulae occur in only 7.5% of cases [7].…”

Section: Introductionmentioning

confidence: 99%

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Bilateral second branchial cleft fistulae coexisting with bilateral pre-auricular fistulae: A rare case report

Gong

Zhou

et al. 2020

Acta Oto-Laryngologica Case Reports

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Bilateral second branchial cleft fistulae are very rare and usually arise from the incomplete obliteration of the branchial apparatus during the embryonic period. Here, we present the clinical characteristics and surgical treatment of a case with bilateral second branchial cleft fistulae coexisting with bilateral pre-auricular fistulae. A 32-year-old man with complaints of a mucus-like discharge that was occasionally secreted on both sides of his neck at 2 years of age when swallowing or pressing the upper area of the two openings. He underwent surgical treatment. The fistulae tracts were traced ascending to the area adjacent to the internal and external carotid arteries, passing the glossopharyngeal and hypoglossal nerves, and opening into the tonsillar fossa finally. The correct diagnosis and definitive surgical excision should be made by a doctor who is familiar with the history, clinical examination, and anatomic structure of the different types of branchial anomalies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Bilateral second branchial cleft fistulae coexisting with bilateral pre-auricular fistulae: A rare case report

Gong

Zhou

et al. 2020

Acta Oto-Laryngologica Case Reports

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An intriguing case of a complete 2nd arch branchial fistula: a portal to the infectious world

Komatreddy

Venkat²,

Teja³

2022

Int Surg J

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Complete 2nd arch branchial fistulae are very rare congenital anomalies of head and neck. They arise due to the incomplete obliteration of the branchial clefts during embryonic period. In this article we report a case of type IV 2nd branchial cleft anomaly in a 15-year-old female. Explicit knowledge regarding its development, anatomy and accurate diagnosis, skillful complete excision of the tract is paramount in its management and to prevent recurrence.

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Diagnostic Approach to Congenital Cystic Masses of the Neck from a Clinical and Pathological Perspective

et al. 2021

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Background: neck cysts are frequently encountered in pediatric medicine and can present a diagnostic dilemma for clinicians and pathologists. Several clinical items enable to subclassify neck cyst as age at presentation, anatomical location, including compartments and fascia of the neck, and radiological presentation. Summary: this review will briefly describe the clinical, imaging, pathological and management features of (I) congenital and developmental pathologies, including thyroglossal duct cyst, branchial cleft cysts, dermoid cyst, thymic cyst, and ectopic thymus; (II) vascular malformations, including lymphangioma. Key Messages: pathologists should be familiar with the diagnostic features and clinicopathologic entities of these neck lesions in order to correctly diagnose them and to provide proper clinical management.

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Second branchial cleft anomalies

Cited by 4 publications

References 10 publications

Bilateral second branchial cleft fistulae coexisting with bilateral pre-auricular fistulae: A rare case report

Bilateral second branchial cleft fistulae coexisting with bilateral pre-auricular fistulae: A rare case report

An intriguing case of a complete 2nd arch branchial fistula: a portal to the infectious world

Diagnostic Approach to Congenital Cystic Masses of the Neck from a Clinical and Pathological Perspective

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