Clinical features of first branchial cleft anomalies

Ikarashi, Fumio; Nakano, Yuichi; Nonomura, Naobumi; Kawana, Masahiro; Okura, Takuya

doi:10.1016/s0196-0709(96)90087-3

Cited by 10 publications

(6 citation statements)

References 10 publications

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“…Branchial cleft anomalies often present in the first two decades of life. Such conditions are thought to arise due to developmental abnormalities of the branchial apparatus and may take the form of a cyst, sinus, or fistula . First branchial cleft anomalies, which account for 1% to 8% of all branchial cleft anomalies, may present with repeated episodes of infection and manifest as a cystic swelling or discharge from a fistulous opening, either preauricular or postauricular, in the cheek or high in the neck.…”

Section: Discussionmentioning

confidence: 99%

“…Such conditions are thought to arise due to developmental abnormalities of the branchial apparatus and may take the form of a cyst, sinus, or fistula. 4 First branchial cleft anomalies, which account for 1% to 8% of all branchial cleft anomalies, 5 may present with repeated episodes of infection and manifest as a cystic swelling or discharge from a fistulous opening, either preauricular or postauricular, in the cheek or high in the neck. Remnant or retained foreign bodies in close proximity to the parotid gland are also infrequent; only approximately 20 of such cases have been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

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Oropharyngeal trauma mimicking a first branchial cleft anomaly

et al. 2015

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We present a unique and challenging case of a remnant foreign body that presented to us in a child disguised as a strongly suspected congenital branchial cleft anomaly. This case entailed oropharyngeal trauma, with a delayed presentation as a retroauricular cyst accompanied by otorrhea that mimicked the classic presentation of an infected first branchial cleft anomaly. During surgical excision of the presumed branchial anomaly, a large wooden stick was found in the tract. The diagnostic and therapeutic obstacles in the management of such cases are highlighted. In addition to exploring the existing literature, we retrospectively analyzed a plausible explanation of the findings of this case. Laryngoscope, 126:E224-E226, 2016.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Oropharyngeal trauma mimicking a first branchial cleft anomaly

et al. 2015

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“…7 Many authors have commented on the dif culty in categorizing rst cleft anomalies into Work's classication since the clinical picture does not always correlate with the histologic ndings. 5,6,8,9 Traditionally, the term ' rst cleft anomaly' has been limited to imply the existence of an abnormal epithelialized space, whether it is a cyst, sinus or stula. Such a narrow de nition does not account for the entire complexity of the embryology of the rst cleft.…”

Section: Discussionmentioning

confidence: 99%

External auditory canal duplication anomalies associated with congenital aural atresia

Blevins¹,

Byahatti²,

Karmody³

2003

J. Laryngol. Otol.

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Maldevelopment of the first branchial cleft can produce a broad spectrum of anomalies in its derivative structure, the external auditory canal (EAC). Failure of the cleft to develop normally can result in either the absence of a normally patent EAC (atresia, or stenosis) or a duplication anomaly (cyst, sinus, or fistula). Despite their common origins, the coexistence of these anatomical abnormalities is quite unusual. We present four patients with both aural atresia and duplication anomalies of the EAC. Three patients had non-syndromic unilateral aural atresia and presented with periauricular lesions originating from the first branchial cleft. The other patient had a variant of Treacher Collins syndrome and presented with draining infra-auricular fistulae. The classification and management of first branchial cleft anomalies is reviewed in light of these cases. An understanding of the embryogenesis of the external ear is necessary to successfully recognize and treat this spectrum of deformities. A classification system is presented that encompasses the full spectrum of first cleft anomalies.

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“…11,12 An appreciation of the embryological origins of these lesions and their intimate association with the facial nerve has led to earlier correct diagnosis and safe treatment. [13][14][15] Nearly every modern article on the subject and several recent atlases on pediatric otolaryngology 16,17 describe the anatomical identification of the trunk of the facial nerve as a first step in the excision of branchial cleft cysts. This is a logical approach, as the best way to avoid injury to the facial nerve (or any important structure) is to know its location at all times during surgical dissection.…”

Section: Commentmentioning

confidence: 99%