Management of first branchial cleft anomalies: report of two cases

Stulner, C.; Chambers, P.; Telfer, M.R.; Corrigan, A.M.

doi:10.1054/bjom.2000.0548

Cited by 20 publications

(13 citation statements)

References 23 publications

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“…They usually present as a cyst, sinus or fistula that may have a close association with the parotid gland, and the inferior part may run medially or laterally to the facial nerve with variable relationships. They may contain skin, adnexial structures and cartilage [1,2,9,16,17]. In our cases, the tract course was in the area formed by the first branchial arch, and the histological properties of the lesions were demonstrated as type II first branchial cleft anomalies.…”

Section: Discussionmentioning

confidence: 54%

“…Clinically, a first branchial cleft anomaly can present as a cystic lesion, fistula or sinus extending towards the external ear canal [12]. So in patients with fistulas, the lower opening is located between the sternocleidomastoid muscle at the back, the angle of the mandible at the front, and the hyoid bone below, while the upper opening is located on the floor of the external auditory canal [1].…”

Section: Discussionmentioning

confidence: 99%

“…First branchial cleft anomalies are very rare congenital malformations of the head and neck, since these lesions account for less than 1% of all branchial cleft defects, the annual incidence being approximately one per 1,000,000 [1,2]. It is generally acknowledged that first branchial cleft anomalies are the result of incomplete obliteration of the clefts that arise between the branchial arches during embryogenesis, producing persistent anomalous structures with considerable variation in their anatomical course.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…It has been shown that infection increases the recurrence rate by causing adhesions in the tissue plans. The recurrence becomes 25% in patients who are operated on after the fi rst infectious attack [8] . The overall recurrence rates following surgery were 3-4.9% in retrospective studies of 98 and 183 patients [3,7] .…”

Section: Discussionmentioning

confidence: 99%

Second Branchial Anomalies in Children

Karabulut

Sönmez²,

Türkyılmaz³

et al. 2005

ORL

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Aim: The aim of this study was to evaluate the data of our patients who had been treated for second branchial anomalies in the last 10 years. Here we report our clinical experience in second branchial anomalies with a review of the literature. Patients and Methods: We evaluated retrospectively the data of 14 patients, who had been operated on between 1994 and 2004 for second branchial anomalies, in relation to age, sex, complaint at application, diagnostic test, surgical procedures and histopathologic findings. Results: The mean age of the patients (8 female, 6 male) was 5.3 years (range = 1.5–16). The anomalies were usually located on the left side of the neck (n = 6). There were only 3 cases with bilateral anomalies. The majority of the lesions were sinuses (93%). The most frequent clinical feature was the presence of persistent discharge from an external (cutaneous) orifice. All lesions were excised by performing a second step ladder incision. Eight of the lesions were removed under the guidance of 3/0 polypropylene suture. No postoperative complication or recurrence was observed during the follow-up period. Conclusions: Second branchial arches anomalies are the most common branchial anomalies. Sinuses are more frequently encountered in children. Definitive treatment for these lesions is surgical excision. A polypropylene suture can be inserted into the tract as a guide to prevent incomplete excision.

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“…1 The branchial apparatus, a series of six paired arches each associated with an external cleft and an internal pouch, is responsible for forming structures of the head and neck. 2 It is hypothesised that incomplete obliteration of a cleft and/or pouch can result in either a fistula or a sinus, although sinuses are generally more common than fistulae. 3 Abnormalities arising from the second cleft are commonest, accounting for 90 per cent of all branchial anomalies.…”

Section: Introductionmentioning

confidence: 99%