First Branchial Cleft Anomalies

Triglia, Jean‐Michel; Nicollas, R.; Ducroz, V.; Koltai, Peter J.; Garabédian, Éréa-Noël

doi:10.1001/archotol.124.3.291

Cited by 198 publications

(50 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Facial nerve injury is a risk that must always be discussed with the family, especially in cases of prior infection or surgery. An older series reported facial nerve injury in 2/5 cases, while some newer series report anywhere from a 7–15% risk [2, 5, 6]. …”

Section: Discussionmentioning

confidence: 99%

Surgical Approaches to First Branchial Cleft Anomaly Excision: A Case Series

Quintanilla‐Dieck

Virgin

Wootten

et al. 2016

Case Reports in Otolaryngology

View full text Add to dashboard Cite

Objectives. First branchial cleft anomalies (BCAs) constitute a rare entity with variable clinical presentations and anatomic findings. Given the high rate of recurrence with incomplete excision, identification of the entire tract during surgical treatment is of paramount importance. The objectives of this paper were to present five anatomic variations of first BCAs and describe the presentation, evaluation, and surgical approach to each one. Methods. A retrospective case review and literature review were performed. We describe patient characteristics, presentation, evaluation, and surgical approach of five patients with first BCAs. Results. Age at definitive surgical treatment ranged from 8 months to 7 years. Various clinical presentations were encountered, some of which were atypical for first BCAs. All had preoperative imaging demonstrating the tract. Four surgical approaches required a superficial parotidectomy with identification of the facial nerve, one of which revealed an aberrant facial nerve. In one case the tract was found to travel into the angle of the mandible, terminating as a mandibular cyst. This required en bloc excision that included the lateral cortex of the mandible. Conclusions. First BCAs have variable presentations. Complete surgical excision can be challenging. Therefore, careful preoperative planning and the recognition of atypical variants during surgery are essential.

show abstract

Section: Discussionmentioning

confidence: 99%

Surgical Approaches to First Branchial Cleft Anomaly Excision: A Case Series

Quintanilla‐Dieck

Virgin

Wootten

et al. 2016

Case Reports in Otolaryngology

View full text Add to dashboard Cite

show abstract

“…The common clinical presentation of a first branchial cleft abnormality includes a swelling in the preauricular region (24%), parotid (35%) or cervical region (41%). [2] FBCC are rare causes of parotid swellings, accounting for less than 1% of all the branchial cleft abnormalities. Although congenital in origin, FBCCs can present later in life, a median age of around 18 years.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of FBCCs is a clinical challenge; the condition is often overlooked and mismanaged. [2] Branchial cleft cysts are often infected following repeated upper respiratory tract infection and are found as rapidly expanding cystic mass in the neck. A history of multiple incision and drainage procedures for an abscess in the upper neck area is considered by some pathognomonic for FBCC.…”

Section: Discussionmentioning

confidence: 99%

“…A history of multiple incision and drainage procedures for an abscess in the upper neck area is considered by some pathognomonic for FBCC. [2] The differential diagnosis of FBCC in children includes cystic hygroma, venous malformation, hemangioma, reactive lymphadenopathy and ectopic salivary or thyroid tissue; the differential diagnosis in adults should further include a parotid tumor, tuberculosis or malignancies like Hodgkin's disease, lymphoma and sarcoidosis.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Type I first branchial cleft cyst masquerading as a parotid tumor

Ramshanker

2014

Natl J Maxillofac Surg

View full text Add to dashboard Cite

Branchial cleft anomalies are caused by incomplete regression of the cervical sinus of “His” during the 6th and 7th weeks of embryologic development. Although congenital in origin, first branchial cleft cysts (FBCCs) can present later in life. FBCCs are rare causes of parotid swellings, accounting for <1% of all the branchial cleft abnormalities. The diagnosis of FBCCs is a clinical challenge; the condition is often overlooked and mismanaged. We report a case of Type 1 FBCC in a 22-year-old female with an asymptomatic 3.5 cm × 2.5 cm sized cystic mass. It was removed completely under the impression of a cystic tumor of the parotid. On histopathology, the cyst had a squamous epithelium-lined wall with lymphoid aggregation which was characteristic of a branchial cleft cyst. A good understanding of the regional anatomy and embryology can lead to an early diagnosis and thereby effective management of FBCC.

show abstract

“…These anomalies are caused by incomplete fusion of the first cleft between the first and second branchial arches and occur at a frequency of approximately 1% to 10% among all branchial anomalies (1,2). The external auditory canal is derived from the first branchial cleft, and it is commonly accompanied by an orifice on the floor of the external auditory canal, either at the level of the bony-cartilaginous junction or in the cartilaginous portion (2). A first branchial cleft malformation sometimes accompanies an anomaly of the external ear canal or middle ear and cholesteatoma (1Y4).…”

mentioning

confidence: 99%