Second branchial cleft anomalies in children: a literature review

Shen, Lianfang; Zhou, Shui‐Hong; Chen, Qiongqiong; Yu, Qi

doi:10.1007/s00383-018-4348-8

Cited by 21 publications

(40 citation statements)

References 31 publications

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“…Derinde pretonsiller fossa veya farinkse kadar uzanabilirler (1,2) . Bu anatomik varyasyonlara göre Bailey tarafından 1929'da (4) dört alt gruba ayrılmışlardır. Tip 1 lezyonlar yüzeyel yerleşimli olup, SKM anterior sınırı boyunca uzanırlar.…”

Section: Cinsiyetunclassified

“…Bir olgumuzda ise çift taraflı BY anomalisi vardı, ancak bu olguda ek hastalık bulgusu saptanmadı. Komplet fistül nadiren görüldüğünden rutin fistülografi önerilmemektedir (4,14) . Kist ile başvuran olgularda diğer boyun kitlelerinden ayırıcı tanısını yapabilmek için ultrasonografi yapılabilir.…”

Section: Cinsiyetunclassified

“…Kist ile başvuran olgularda diğer boyun kitlelerinden ayırıcı tanısını yapabilmek için ultrasonografi yapılabilir. Ancak, sinüs ve fistüllerin tanısında ultrasonografinin yeri çok sınırlıdır (1,4) . Detaylı inceleme gerekli olgularda özellikle tiroid lojunu korumak için bilgisayarlı tomografiden kaçınmalı ve Manyetik rezonans görüntüleme tercih edilmelidir (4,7) .…”

Section: Cinsiyetunclassified

“…BY anomalileri fistül, sinüs veya kist olarak görülebilirler. Bu anomaliler boyundaki yerleşimine ve gösterdiği anatomik seyire göre alt gruplara ayrılırlar (2,4) . Dolayısıyla her bir BY anomalisi farklı anatomik özelliklere sahiptir.…”

Section: Introductionunclassified

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Çocuklarda Brankiyal Yarık Anomalileri

Farzaliyev¹,

Boybeyi²,

Soyer³

et al. 2021

TCDD

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INTRODUCTION: Objective: A retrospective study was planned to evaluate the clinical and radiological findings of childhood branchial anomalies together with the subclasses of the anomaly and to discuss the surgical results. Method: The medical records of the patients managed for branchial cleft anomaly between 2014 and 2019 were examined. Demographic features, clinical and radiological findings, surgical managements and outcomes were recorded. Results: Eighteen cases were included in the study. Median age of the cases was 5 years (1-14). Male/female ratio was 9/9. The complaints were discharge from the BC (n=13, 72%) and painless neck mass (n=3, 17%). The BC was at right side in 8 (44%), left side in 9 (%50) and bilateral in 1 case (6%). Physical examination revealed the presence of a fistula, and its orifice in 14 cases and cystic lesion was palpable in 4 cases. Ultrasound was performed in 9 cases (50%) and cyst could be detected in 3 of them. All cases were operated and step-ladder incision was used in 8 cases. The fistula tract was ended near to pharynx in 2, near to pretonsillar fossa in 10, submandibular region in 5, and external auditory tract in 1 case. Histopathological examination revealed inflammation in 2 cases and cartilage in 1 case. Stratified ciliary columnar and stratified squamous cell epithelium was detected in samples. Conclusion: Physical examination is the most important diagnostic method. The management is surgery and excision of whole lesion is important in preventing recurrences. Although using methylene blue is a guiding technique in surgical excision of tracts, the effect of its use on surgical outcome and recurrence rates is still debatable.

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Section: Cinsiyetunclassified

Section: Introductionunclassified

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Çocuklarda Brankiyal Yarık Anomalileri

Farzaliyev¹,

Boybeyi²,

Soyer³

et al. 2021

TCDD

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“…[1,2] The persistent anomalies have been described as incomplete obliteration of the branchial apparatus during embryogenesis, which can be categorized into four types. [3,4] Each type of BCA has a different incidence rate. Second BCAs are the most common, accounting for 90% to 95% of all BCAs.…”

Section: Introductionmentioning

confidence: 99%

The utilization of selective neck dissection in the treatment of recurrent branchial cleft anomalies

et al. 2019

Medicine

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To investigate the characteristics of recurrent branchial cleft anomalies (BCAs) and to evaluate the surgical technique and outcomes of patients undergoing reoperation.From January 2005 to August 2018, the clinical data of 216 patients with recurrent second, third, and fourth BCAs were retrospectively analyzed. According to the embryological and anatomical features of the cleft palate and recurrence site, selective neck dissection techniques were used for surgical treatment.Among all 216 patients, 203 healed by primary healing. Twelve patients with local infections and 1 patient with a pharyngeal fistula healed after dressing changes. Eleven patients experienced transient hoarseness and recovered after a few months. Three patients developed permanent hoarseness, and 5 patients developed coughing after eating and drinking. Three patients underwent internal jugular vein ligation. Only 4 recurrences occurred during a follow-up period of more than 1 year. The total cure rate was 98.15%.Selective neck dissection is an effective and safe surgical treatment for recurrent second, third, and fourth branchial cleft anomalies.

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Sonographic Findings of Cervical Chondrocutaneous Branchial Remnants—A Comparison With Dermal Lesions/Cysts and a Literature Review

Hosokawa,

Tanami,

Sato

et al. 2023

J of Ultrasound Medicine

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ObjectivesCervical chondrocutaneous branchial remnants (CCBRs) and dermal lesions, such as epidermoid cysts or brachial anomalies, including lateral cervical cysts/sinuses or dermal sinuses of anterior chest lesions, are usually located at the lower neck at the anterior or posterior border of the sternocleidomastoid muscle (SCM). We aimed to demonstrate the usefulness of ultrasonography in the differential diagnosis and evaluation of CCBRs.MethodsWe evaluated 22 lesions of 20 pediatric patients, classified into CCBR and dermal lesion groups. We used Fisher's exact test to evaluate differences between these groups in terms of lesion shape (low‐echoic mass‐ or tubular‐like), whether the lesion was adjacent to/in contact with the SCM or not, and the presence or absence of a concave SCM caused by the lesion.ResultsOf the 22 lesions, 8 were CCBRs, and 14 were dermal lesions. We found a significant difference in the presence/absence of adjacency to or contact with the SCM (presence/absence of adjacency to or contact with the SCM in CCBRs vs that in dermal lesions: 6/2 vs 1/13, P = .002) and presence/absence of lesion‐induced concavity of the SCM (presence/absence of lesion‐induced concavity of the SCM in CCBRs vs that in dermal lesions: 3/5 vs 0/14, P = .036). The lesion shape (low‐echoic mass‐like/tubular‐like lesions) did not significantly differ between the two study groups (low‐echoic mass‐like/tubular‐like lesions in CCBRs vs that in dermal lesions: 5/3 vs 11/6, P = .624).ConclusionsCCBRs have a strong association with the SCM. These sonographic findings may be useful in the differential diagnosis of dermal cervical lesions.

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Second branchial cleft anomalies in children: a literature review

Cited by 21 publications

References 31 publications

Çocuklarda Brankiyal Yarık Anomalileri

Çocuklarda Brankiyal Yarık Anomalileri

The utilization of selective neck dissection in the treatment of recurrent branchial cleft anomalies

Sonographic Findings of Cervical Chondrocutaneous Branchial Remnants—A Comparison With Dermal Lesions/Cysts and a Literature Review

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