Branchial cleft and pouch anomalies in childhood: a report of 50 surgical cases

Spinelli, Claudio; Rossi, Leonardo; Strambi, Silvia; Piscioneri, Jessica; Natale, Gianfranco; Bertocchini, Alessia; Messineo, Antonio

doi:10.1007/s40618-015-0390-8

Cited by 37 publications

(43 citation statements)

References 43 publications

(81 reference statements)

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“…Type III extends medially between the bifurcation of the internal and external carotid arteries to lateral pharyngeal wall. Type IV opens into thepharynx and is lined with columnar epithelium (7,8). Second branchial cleft cysts were different classified into four types by Proctor: Type I: superficial cysts lying anterior to the sternocleidomastoid muscle and beneath the cervical fascia; Type II: cysts lyingon the great vessels (the most common); Type III: lesions extending between the internal and external carotid arteries;Type IV: cysts lying adjacent to the pharyngeal wall and medial to the great vessels (9,10).…”

Section: Discussionmentioning

confidence: 99%

“…But, it is adequate to reach a diagnosis by observing the external orifice and the discharge from the fistula. However, we think that it is needed to perform a CT or MR investigation in the patients with cervical mass to establish a definite diagnosis (3,6,8,10).…”

Section: Discussionmentioning

confidence: 99%

“…The recurrence rate is 25% if the patient is operated after the first infectious attack (16). The overall recurrence rate after surgery is 3% to 4.9% (4,8,11).…”

Section: Discussionmentioning

confidence: 99%

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Second Branchial Anomalies in Children and Literature Review

2017

GMJ

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Second branchial arches anomalies are the most common branchial anomalies. Usually sinuses and fistulas are encountered in younger ages, while cysts are observed in adolescent or adults. Early diagnosis and treatment decreases recurrence by preventing infection, which causes adhesions in the tissue plans. Definitive treatment for these lesions are surgical excision. The aim of this study is to report our clinical experience in second brachial duct anomalies with the review of the literature.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Second Branchial Anomalies in Children and Literature Review

2017

GMJ

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“…The position of the branchial cleft anomaly in reference to the laryngeal nerve differentiates fourth from third branchial cleft anomalies. Anomalies derived from the fourth branchial cleft are typically located below the laryngeal nerve …”

Section: Congenital Cystic Massesmentioning

confidence: 99%

“…23 Second branchial cleft anomalies (75-95% of branchial apparatus anomalies) occur along the second branchial cleft tract extending from the oropharyngeal mucosa in the tonsillar fossa, coursing lateral in between the glossopharyngeal and hypoglossal nerve through the carotid bifurcation region and descending lateral to the common carotid artery to the supraclavicular region. 12,24 The lesion often manifests as an asymptomatic slowly enlarging mass in childhood or early adulthood and may be painful if secondarily infected. The Bailey classification distinguishes four subtypes of second branchial cleft cysts.…”

Section: Branchial Apparatus Anomaliesmentioning

confidence: 99%

Lumps and Bumps of the Neck in Children—Neuroimaging of Congenital and Acquired Lesions

Dremmen

Tekes

Mueller

et al. 2016

Journal of Neuroimaging

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Neck masses present as palpable lumps and bumps in children with acquired lesions more common than congenital ones. Assessment of the anatomical site of origin, signal, and contrast enhancement characteristics may help define the etiology of the lesions, eg, developmental, inflammatory, vascular, or neoplastic. The age of the patient along with detailed clinical history and physical exam findings are important element to narrow down the differential diagnosis. The correct final diagnosis is essential to guide treatment as well as the urgency of intervention. The objective of this review is to define the characteristic location, classic and differentiating imaging features of the most frequent congenital and acquired cervical lumps and bumps in the pediatric population.

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Does thyroglossal duct arborization play a role in the post-surgical outcome of Sistrunk procedure in children?

Spinelli,

Ghionzoli,

Ugolini

et al. 2024

Eur Arch Otorhinolaryngol

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Purpose The purpose of the present study is to analyze thyroglossal duct cyst (TGDC) histopathological features, with focus on “arborization”, in a cohort of pediatric patients who underwent surgical removal, and evaluate a possible correlation with clinical recurrences. Methods A retrospective analysis of all patients who underwent surgical resection for TGDC at the division of Pediatric Surgery of the University of Pisa from 2015 to 2020 was performed; for each patient, the following data were recorded: age, sex, clinical presentation, localization, size of the lesion, diagnostic tools, histopathological features, perioperative complications, recurrence and follow-up. Results With respect to arborization, following histopathological analysis 25/30 patients (83.3%) presented thyroglossal duct branching. After a median follow-up of 3.5 years, only 2 out of 30 patients (6.7%), one male and one female, respectively aged 4 y.o. and 6 y.o., presented recurrence within one year from first surgery. Conclusion Surgery for TGDC remains a challenge for pediatric surgeons, while arborization was present in most of our cases which underwent surgery. With respect to the role of arborization, our study did not highlight sufficient conclusive data regarding their role in recurrence: instead, it showed wide resection as satisfactory, being the arborization present in most of the cases at histopathology.

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Branchial cleft and pouch anomalies in childhood: a report of 50 surgical cases

Abstract: Pre-operative diagnosis supplies important information to the surgeon for a proper therapy: a complete excision of the lesion without inflammatory signs is essential to avoid re-intervention and to achieve a good outcome.

Cited by 37 publications

References 43 publications

Second Branchial Anomalies in Children and Literature Review

Second Branchial Anomalies in Children and Literature Review

Lumps and Bumps of the Neck in Children—Neuroimaging of Congenital and Acquired Lesions

Does thyroglossal duct arborization play a role in the post-surgical outcome of Sistrunk procedure in children?

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