Magnetic resonance imaging of branchial cleft abnormalities: illustrated cases and literature review

Black, Carla; O’Hara, James; Berry, Jonathan; Robson, Andrew

doi:10.1017/s0022215109990995

Cited by 15 publications

(13 citation statements)

References 17 publications

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“…12 So imaging may not be mandatory in all cases of second branchial cleft anomalies. 13 In our study, CT fistulogram was done in only 2 patients. However, methylene blue was injected in 4 patients just before starting surgery.…”

Section: Discussionmentioning

confidence: 86%

“…5 CT scan can detect air density and with its superior resolution gives better delineation of fistulous tract. 13 However, the sensitivity of CT scan in defining the tract varies according to the machine and also the experience of the radiologist. Literature shows accuracy of a CT scan in diagnosing a sinus and fistula to be 81 and 50% respectively.…”

Section: Discussionmentioning

confidence: 99%

“…3 A CT fistulogram with reformatted images or MRI are the best modalities available, but most studies prefer CT scan. 13 Few studies in literature have shown that preoperative imaging does not affect complication or recurrence rates. 12 So imaging may not be mandatory in all cases of second branchial cleft anomalies.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Selective Neck Dissection: A Novel Technique for Second Branchial Arch Anomalies

Raj¹,

Mohiyuddin²,

Mohammadi³

et al. 2014

International Journal of Head and Neck Surgery

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Selective Neck Dissection: A Novel Technique for Second Branchial Arch Anomalies

Raj¹,

Mohiyuddin²,

Mohammadi³

et al. 2014

International Journal of Head and Neck Surgery

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show abstract

“…According to Olsen's classification, the two cases might be misdiagnosed as sinus from the manifestation even though computed tomography fistulography was used, and then might be mismanaged since, at present, there is no imaging method capable of identifying a first branchial cleft anomaly with certainty [5,13]. The diagnosis can be made from direct Methylene Blue dye injection and operation.…”

Section: Discussionmentioning

confidence: 99%

First branchial cleft fistula presenting with internal opening on the Eustachian tube: Illustrated cases and literature review

Liu

Xue

et al. 2012

International Journal of Pediatric Otorhinolaryngology

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“…MRI is also accurate in detecting branchial cysts but is variable in its effectiveness in delineation of the fistula or sinus tract 28,29,30 . In regards to first branchial anomalies, MRI allows assessment of the extent of the lesion, especially within parotid tissue 6 .…”

Section: Computed Tomography and Mrimentioning

confidence: 99%

Branchial Anomalies: A Retrospective Analysis in a Tertiary Care Hospital

Sudhir¹,

Ramachandra²,

Singh³

et al. 2013

jemds

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Branchial anomalies are the second most common congenital head and neck masses. Although congenital, all age groups are known to be affected. Branchial anomalies are common congenital pediatric head and neck lesions but are comprised by several diverse anomalies. Treatment must be tailored depending on which branchial arch is involved and whether a cyst mass or sinus/fistula tract is present. KEYWORDS: Branchial anomaly, branchial cleft cyst, branchial fistula, branchial sinus, congenital neck mass, pediatric neck mass INTRODUCTION: Branchial anomalies comprise approximately 20% of pediatric congenital head and neck masses, making them, after thyroglossal duct cysts, the second most common 1. Although the term branchial anomaly encompasses first, second, third and fourth branchial cleft cysts, sinuses and fistulae, all of which are distinct clinical entities and require separate management, all are thought to result from a similar embryologic error: incomplete obliteration of the branchial apparatus during embryogenesis 2. The branchial apparatus consists of six grooves (ectoderm), arches (mesoderm) and pouches (endoderm). When a pouch or groove fails to obliterate, it may communicate with either skin or mucosa of the upper airway, forming a sinus. When both a pouch and a groove fail to obliterate, it may form a communication between the skin and mucosa, which is termed a fistula. When a branchial groove remnant forms an epithelial-lined space without communication to the skin or mucosa, a cyst is formed 1. Each of the six branchial arches (with the exception of the fifth) develops into specific structures in the head and neck. A branchial anomaly and its associated tract typically lies inferior to all the derivatives of its associated arch and superior to all derivatives of the next arch 2. The malformations can, therefore, be divided into first through fourth branchial anomalies. PATIENTS AND METHODS: A retrospective analysis was conducted between Jan 2008 to June 2012, over a period of 54 months in KIMS Bangalore. Total number of 31 cases were analysed. RESULTS: First and second decade was the most common age group affected. (Chart 1). Eighty nine percent of patients were males. Right sided lesions were seen in 68% of patients, left in 22% and bilaterally in 10% of patients. Discharge from the external opening and swelling were the most common symptoms. (Figures 1, 2 and 3). Surgery was performed in all the patients. Elliptical incision was used in the majority of cases; step ladder incision was the next most common incision used. (Figure 4).

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Magnetic resonance imaging of branchial cleft abnormalities: illustrated cases and literature review

Cited by 15 publications

References 17 publications

Selective Neck Dissection: A Novel Technique for Second Branchial Arch Anomalies

Selective Neck Dissection: A Novel Technique for Second Branchial Arch Anomalies

First branchial cleft fistula presenting with internal opening on the Eustachian tube: Illustrated cases and literature review

Branchial Anomalies: A Retrospective Analysis in a Tertiary Care Hospital

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