Distribution of branchial anomalies in a paediatric Asian population

Teo, Neville Wei Yang; Ibrahim, Shahrul I.; Tan, Kun

doi:10.11622/smedj.2015060

Cited by 10 publications

(11 citation statements)

References 12 publications

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“…In our study, unilateral incidence is seen in 75% and bilateral incidence is seen in 25% cases which is compared to study by Teo et al is conclusive in terms of unilaterality and bilaterality. 4 Male incidence is seen in 66.66% while female incidence is seen in 33.33% cases which is same as study by D'souza et al 5 In our study 6.66% recurrence rate is seen compared to study by Takimoto et al and Spinelli. 6,7 In a study by Spinelli branchial fistula is most common second branchial anomaly followed by cyst, combined cyst with sinus.…”

Section: Discussionsupporting

confidence: 89%

Second branchial cleft anomalies: a review of 12 cases

Modi¹,

Anadani²,

Tota³

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: It is a combined retrospective and prospective study of 12 cases of branchial cleft anomalies presented to our hospital. We analysed them for their age and sex incidence, side prevalence, according to clinical features and treatment outcomes.Methods: Thorough history was taken and examination was done and these cases are investigated with CT scan, MRI scan and treated with surgical excision. Results: Cyst is seen in 7 (58.33%) patients while one case of sinus and one (8.33%) of fistula,1 case of co-existing sinus and fistula (8.33%), and one Bilateral sinus and 1 bilateral fistula (8.33%) were seen. Overall incidences of branchial anomalies are more (40%) in 11-15 year age group. Overall incidence of branchial anomalies is more in male (66.66%) than female (33.33%). 4 cysts were right sided and 3 were left sided. Sinus and fistula were seen one case having right sided and 1 case having bilateral anomaly. Patients having branchial cysts presents most commonly with neck swelling and pain while patients having fistula and sinus presents commonly with discharging opening over anterior neck. 1 case of recurrence found in cyst on follow up and no recurrences were seen in sinus and fistula.Conclusions: Cyst is the most common anomaly, most commonly affected age group is 11-15 years, male are more commonly affected, these anomalies are more prevalent on right side, and there are very less chances of recurrence after surgical excision.

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Section: Discussionsupporting

confidence: 89%

Second branchial cleft anomalies: a review of 12 cases

Modi¹,

Anadani²,

Tota³

2019

Int J Otorhinolaryngol Head Neck Surg

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“…Further, CT-fistulography could provide more detailed information about the lesion and it is helpful in surgical planning [33]. In addition, the internal opening of branchial anomalies may be demonstrated with esophagography, although this procedure is difficult during inflammation: in these cases, a direct laryngoscopy could be performed [10,31,34,38]. Even our patient with piriform sinus fistula underwent fistulography to define the course of the lesion.…”

Section: Discussionmentioning

confidence: 96%

“…Although patients' history and physical examination are essential to reach a diagnosis of branchial anomalies [33], imaging yields important pre-operative information: USexam defines the size and the cystic nature of the lesion and it is able to guide the FNAC procedure that is helpful in pre-operative diagnosis [11,21,34].…”

Section: Discussionmentioning

confidence: 99%

“…CT and MR imaging may confirm the diagnosis and provide accurate anatomical details regarding location and extent [34][35][36]. In particular, CT is helpful to define the management of first branchial cleft anomalies due to the possible relationship between these and facial nerve [7,34].…”

Section: Discussionmentioning

confidence: 99%

“…In particular, CT is helpful to define the management of first branchial cleft anomalies due to the possible relationship between these and facial nerve [7,34]. Further, Sun et al [33] suggested that the relationship between the lesion and the retromandibular vein can be useful, since facial nerve branches superficially to the retromandibular vein.…”

Section: Discussionmentioning

confidence: 99%

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