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The Journal of International Medical... May 2021Third branchial cleft cyst is a rare congenital disease of the neck. It presents as a painless mass that develops rapidly in the neck following an infection. This is the...
Third branchial cleft cyst is a rare congenital disease of the neck. It presents as a painless mass that develops rapidly in the neck following an infection. This is the first case report of recurrent laryngeal nerve palsy caused by a third branchial cleft cyst. A 30-year-old woman presented with a 3-month history of hoarseness as her only symptom; she had no pain, fever, dysphagia, dyspnoea, or palpable neck mass. Laryngoscopy revealed that her right vocal cord was paralyzed. Computed tomography and magnetic resonance imaging revealed a cystic mass in the right tracheoesophageal groove that was closely associated with the trachea. Intraoperatively, the cyst was found not to originate from the thyroid or trachea, but it was compressing the right recurrent laryngeal nerve. The hoarseness resolved the day after the cyst was removed.
Topics: Adult; Branchioma; Female; Head and Neck Neoplasms; Hoarseness; Humans; Recurrent Laryngeal Nerve; Vocal Cord Paralysis
PubMed: 34013760
DOI: 10.1177/03000605211012549 -
Singapore Medical Journal Apr 2015The objective of the present study was to review the distribution and incidence of branchial anomalies in an Asian paediatric population and highlight the challenges...
INTRODUCTION
The objective of the present study was to review the distribution and incidence of branchial anomalies in an Asian paediatric population and highlight the challenges involved in the diagnosis of branchial anomalies.
METHODS
This was a retrospective chart review of all paediatric patients who underwent surgery for branchial anomalies in a tertiary paediatric hospital from August 2007 to November 2012. The clinical notes were correlated with preoperative radiological investigations, intraoperative findings and histology results. Branchial anomalies were classified based on the results of the review.
RESULTS
A total of 28 children underwent surgery for 30 branchial anomalies during the review period. Two children had bilateral branchial anomalies requiring excision. Of the 30 branchial anomalies, 7 (23.3%) were first branchial anomalies, 5 (16.7%) were second branchial anomalies, 3 (10.0%) were third branchial anomalies, and 4 (13.3%) were fourth branchial anomalies (one of the four patients with fourth branchial anomalies had bilateral branchial anomalies). In addition, seven children had 8 (26.7%) branchial anomalies that were thought to originate from the pyriform sinus; however, we were unable to determine if these anomalies were from the third or fourth branchial arches. There was inadequate information on the remaining 3 (10.0%) branchial anomalies for classification.
CONCLUSION
The incidence of second branchial anomalies appears to be lower in our Asian paediatric population, while that of third and fourth branchial anomalies was higher. Knowledge of embryology and the related anatomy of the branchial apparatus is crucial in the identification of the type of branchial anomaly.
Topics: Adolescent; Branchial Region; Branchioma; Child; Child, Preschool; Female; Hospitals, Pediatric; Humans; Incidence; Infant; Male; Retrospective Studies; Singapore
PubMed: 25917471
DOI: 10.11622/smedj.2015060 -
Lin Chuang Er Bi Yan Hou Tou Jing Wai... Nov 2021A rare case of branchiogenic carcinoma from first cleft branchial cyst in the parotid gland is reported. An elderly male patient was admitted to the hospital presented...
A rare case of branchiogenic carcinoma from first cleft branchial cyst in the parotid gland is reported. An elderly male patient was admitted to the hospital presented with a mass accompanying with swelling and pain in the right parotid area for 5 days. Total right parotidectomy including the tumor resection and selective neck dissection were performed under general anesthesia. A thick-walled cyst containing necrotic tissue in the parotid gland was found. Postoperative histopathology showed that the tumor contained squamous epithelium and pseudostratified columnar epithelium. The cyst epithelium had atypical hyperplasia with necrosis. Some areas were cancerous with the formation of well-differentiated squamous cell carcinoma and cancer infiltration. No metastasis was found in the cervical lymph nodes. This case was in accordance with the diagnostic criteria of cancerization of the first branchial cleft cyst.
Topics: Aged; Branchioma; Carcinoma, Squamous Cell; Head and Neck Neoplasms; Humans; Male; Neck Dissection; Parotid Gland
PubMed: 34886611
DOI: 10.13201/j.issn.2096-7993.2021.11.016 -
The Canadian Veterinary Journal = La... Mar 2022Pharyngeal cleft cysts (also called branchial cleft cysts) are rare congenital defects of the pharynx region that appear as soft, fluctuant cystic structures on the...
Pharyngeal cleft cysts (also called branchial cleft cysts) are rare congenital defects of the pharynx region that appear as soft, fluctuant cystic structures on the ventral neck. These cysts are formed by anomalous regression of the pharyngeal clefts during embryonic development and are lined by pseudostratified columnar to squamous, partially ciliated epithelium on histopathology. Development of these cysts is sporadic, with no currently identified risk factors in veterinary species. The cysts are typically unilateral, and primarily diagnosed in mature animals of various species. The objective of this article is to report 2 cases of bilateral second pharyngeal cleft cysts in 2 calves with no shared pedigree, located on the same farm. To the authors' knowledge, this is the first report of geographically linked second pharyngeal cleft cysts in veterinary species, and the first cases of bilateral cysts in cattle. Key clinical message: Pharyngeal cleft cysts are an important differential for soft, fluctuant, and cystic structures on the ventral neck of all species. These cases are typically unilateral, diagnosed in mature animals and are sporadic with no currently identified risk factors in veterinary species.
Topics: Animals; Branchial Region; Branchioma; Cattle; Cattle Diseases; Farms; Female; Head and Neck Neoplasms; Pregnancy
PubMed: 35237017
DOI: No ID Found -
Medicine Aug 2021The second branchial cleft cyst lacks typical symptoms, and its clinical manifestations are complex and varied. Among them, the second branchial cleft cyst manifested by...
The second branchial cleft cyst lacks typical symptoms, and its clinical manifestations are complex and varied. Among them, the second branchial cleft cyst manifested by sleep snoring is relatively rare, and it can easily lead to missed diagnosis or misdiagnosis. This paper reports a case of a second branchial cleft abscess with snoring as the main manifestation. The branchial cleft cyst was removed using an endoscopic branchial cleft.
Topics: Branchioma; Child; Endoscopy; Humans; Male; Snoring
PubMed: 34449485
DOI: 10.1097/MD.0000000000027037 -
Actas Dermo-sifiliograficas Oct 2016
Topics: Branchial Region; Branchioma; Craniofacial Abnormalities; Cutaneous Fistula; Dermoscopy; Diagnosis, Differential; Electrocardiography; Humans; Infant; Male; Neck; Pharyngeal Diseases; Thyroglossal Cyst
PubMed: 26993031
DOI: 10.1016/j.ad.2015.06.019 -
La Clinica Terapeutica May 2021Branchiogenic carcinoma (BC) is an extremely rare and still controversial clinic entity with few cases reported in literature. This malignant squamous epithelial wall...
Branchiogenic carcinoma (BC) is an extremely rare and still controversial clinic entity with few cases reported in literature. This malignant squamous epithelial wall degeneration of a pre-existing second branchial cleft cyst (SBCC) was first described by Von Volk-mann in 1882. Here we present a case of cervical cystic mass that was histologically diagnosed as a primary branchial cleft cyst carcinoma. This is the first documented cases of primary BC presenting with skin involvement on initial examination.
Topics: Branchioma; Carcinoma, Squamous Cell; Female; Head and Neck Neoplasms; Humans; Middle Aged
PubMed: 33956031
DOI: 10.7417/CT.2021.2308 -
Ear, Nose, & Throat Journal Aug 2023First branchial cleft anomalies (FBCAs) are the most infrequent malformations that occur during the development of the branchial apparatus, appearing in less than 8% of...
First branchial cleft anomalies (FBCAs) are the most infrequent malformations that occur during the development of the branchial apparatus, appearing in less than 8% of all branchial anomalies. Traditionally, they are classified into Work type I and II, depending on their origin. We present a pair of rare FBCAs: a case of a preauricular Work type I cyst with twin fistulae coursing toward the parotid gland and a Work type II cyst of significant dimensions.
Topics: Humans; Craniofacial Abnormalities; Pharyngeal Diseases; Cysts; Branchial Region; Head and Neck Neoplasms; Branchioma
PubMed: 33993773
DOI: 10.1177/01455613211015737 -
Journal of Cancer Research and... 2018Etiologies of lateral cervical masses are complex, most commonly these masses are branchial cleft cysts; however, metastatic thyroid carcinoma should be included in the...
Etiologies of lateral cervical masses are complex, most commonly these masses are branchial cleft cysts; however, metastatic thyroid carcinoma should be included in the differential. We report a case of lateral cystic neck mass in a 22-year-old female patient diagnosed as metastatic papillary thyroid carcinoma. The patient was diagnosed after she underwent surgery for branchial cleft cyst. The patient underwent thyroidectomy which revealed multifocal micropapillary thyroid carcinoma with capsular invasion and lymph node metastases. Radioactive iodine treatment was planned. Congenital malformations of the lateral neck may present themselves in the second and third decades of life. Ectopic thyroid tissue within a branchial cleft cyst may give rise to primary papillary carcinoma, as well as branchial cleft cyst may harbor metastases of primary thyroid papillary carcinoma. We classified our patient as a metastasis to the branchial cleft cyst rather than primary papillary carcinoma of the branchial cleft cyst.
Topics: Adult; Branchioma; Carcinoma, Papillary; Female; Head and Neck Neoplasms; Humans; Thyroid Gland; Thyroid Neoplasms; Thyroidectomy; Young Adult
PubMed: 30488872
DOI: 10.4103/0973-1482.188440 -
Journal of Otolaryngology - Head & Neck... May 2020First branchial cleft anomalies are rare, accounting for only 10% of all branchial cleft anomalies. We report an even more rare and unique case of a branchial cleft cyst...
BACKGROUND
First branchial cleft anomalies are rare, accounting for only 10% of all branchial cleft anomalies. We report an even more rare and unique case of a branchial cleft cyst with features of both first and second arch derivatives.
CASE PRESENTATION
A 6-year-old boy presented to us with a left conductive hearing loss associated with pre-tympanic keratin debris and an ipsilateral painful cervical mass. He had a past medical history of left ear surgery for presumed cholesteatoma 2 years prior and left neck abscess drainage 6 months prior. CT and MRI revealed a lesion originating in the external auditory canal and extending cervically through a bony canal located medial to the facial nerve and terminating as a parapharyngeal cyst. The complete removal was accomplished in one surgical stage consisting of three distinct steps: robotic assisted transoral resection of the pharyngeal cyst, an endaural approach and a parotidectomy approach.
CONCLUSION
We believe that our detailed description of this rare first branchial cleft cyst with pharyngeal extension, possibly a hybrid case between a first and second branchial cyst, can serve as a valuable tool to Otolaryngologists - Head and Neck Surgeons who come across a similar unusual presentations.
Topics: Branchioma; Child; Cholesteatoma, Middle Ear; Cysts; Ear Canal; Facial Nerve; Hearing Loss, Conductive; Humans; Magnetic Resonance Imaging; Male; Parapharyngeal Space; Pharyngeal Diseases; Pharynx; Robotic Surgical Procedures; Tomography, X-Ray Computed
PubMed: 32471510
DOI: 10.1186/s40463-020-00426-5