First branchial cleft anomaly extending to parapharyngeal space

2021 ◽  
Vol 14 (8) ◽  
pp. e244842
Author(s):  
K Devaraja ◽  
Vishwapriya Mahadev Godkhindi ◽  
Ajay M Bhandarkar
Keyword(s):  
Facial Nerve ◽  
Parapharyngeal Space ◽  
Present Report ◽  
Open Approach ◽  
Resonance Imaging ◽  
Superficial Parotidectomy ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Peculiar Case ◽  
Extensive Surgery

First branchial cleft anomalies are quite rare, and the majority of them are found in and around the ear canal, mostly superficial to the facial nerve. Very rarely, the anomalous tract of the first branchial cleft can go deeper to the facial nerve, necessitating a meticulous and extensive surgery. A 21-year-old student presented with slowly increasing cystic swelling in the infra-auricular region. Findings of the magnetic resonance imaging were consistent with the first branchial cleft cyst, which also exhibited a deeper extent of the lesion into the parapharyngeal space. The entire tract was excised along with the superficial parotidectomy by an open approach. In addition to illustrating the presentation and management of this peculiar case, the present report also reviews the latest literature around their management.

Presentation of first branchial cleft anomalies: the Sheffield experience

2006 ◽  
Vol 121 (5) ◽  
pp. 455-459 ◽  
Author(s):  
M Martinez Del Pero ◽  
S Majumdar ◽  
N Bateman ◽  
P D Bull
Keyword(s):  
Facial Nerve ◽  
External Auditory Meatus ◽  
Senior Author ◽  
Retrospective Case ◽  
Parotid Region ◽  
Parotid Surgery ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Incomplete Surgery ◽  
Case Note Review

Abnormalities of the first branchial cleft are rare. They may present with a cutaneous defect in the neck, parotid region, external auditory meatus or peri-auricular area, or with inflammatory or infective lesions at these sites.A retrospective case note review of the patients treated by the senior author is presented. This group consisted of 18 patients and represents the largest published UK series to date. Eleven patients (65 per cent) had undergone incomplete surgery prior to referral.Over half the patients had a clinically apparent lesion in relation to the external auditory meatus. There was a variable relationship between the tract and the facial nerve, which was identified at surgery in 15 cases.These findings are consistent with those of previously published series. Clinicians should keep this diagnosis in mind when assessing patients with infected lesions in the neck and parotid area. Surgeons should be familiar with parotid surgery, in children where appropriate, and be prepared to expose the facial nerve before embarking on the surgical management of these lesions.

First Branchial Cleft Anomalies and the Facial Nerve

1983 ◽  
Vol 91 (2) ◽  
pp. 197-202 ◽  
Author(s):  
Robert G. McRae ◽  
K.J. Lee ◽  
Eugene Goertzen
Keyword(s):  
Facial Nerve ◽  
Surgical Management ◽  
Fistulous Tract ◽  
Age Groups ◽  
Clinical Problem ◽  
Cystic Lesions ◽  
Nerve Preservation ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Branchial Anomalies

First branchial cleft anomaly is an uncommon clinical problem that can be difficult to diagnose and treacherous to treat. It is generally believed that branchial anomalies arise from incomplete resolution of branchial cleft remnants. They may be a fistulous tract or cystic lesions, and they may be found in all age groups. This article presents three cases of first branchial cleft anomaly and offers an overview of the regional embryology and guidelines for surgical management and facial nerve preservation.

IDENTIFICATION OF THE FACIAL NERVE TRUNK DURING SUPERFICIAL PAROTIDECTOMY BY TRIDENT LANDMARK

2019 ◽  
Vol 2 (1) ◽  
pp. 17-26
Author(s):  
Yasser Hatata ◽  
Mohamed Ibrahim ◽  
Reda Fawzy ◽  
Hazem Elgohary
Keyword(s):  
Facial Nerve ◽  
Nerve Trunk ◽  
Superficial Parotidectomy

Intraoperative use of fibrin glue dyed with methylene blue in surgery for branchial cleft anomalies

2016 ◽  
Vol 126 (9) ◽  
pp. 2147-2150 ◽  
Author(s):  
Michela Piccioni ◽  
Marco Bottazzoli ◽  
Nader Nassif ◽  
Stefania Stefini ◽  
Piero Nicolai
Keyword(s):  
Methylene Blue ◽  
Fibrin Glue ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft

Keyhole Endoscopic-Assisted Transcervical Approach to the Upper and Middle Retrostyloid Parapharyngeal Space: An Anatomic Feasibility Study

2021 ◽  
Author(s):  
Aldo Eguiluz-Melendez ◽  
Sergio Torres-Bayona ◽  
María Belen Vega ◽  
Vanessa Hernández-Hernández ◽  
Erik W. Wang ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Parapharyngeal Space ◽  
Jugular Bulb ◽  
Occipital Condyle ◽  
Digastric Muscle ◽  
The Novel ◽  
Main Trunk ◽  
Transcervical Approach ◽  
Semiquantitative Evaluation ◽  
Neurovascular Structures

Abstract Objectives The aim of this study was to describe the anatomical nuances, feasibility, limitations, and surgical exposure of the parapharyngeal space (PPS) through a novel minimally invasive keyhole endoscopic-assisted transcervical approach (MIKET). Design Descriptive cadaveric study. Setting Microscopic and endoscopic high-quality images were taken comparing the MIKET approach with a conventional combined transmastoid infralabyrinthine transcervical approach. Participants Five colored latex-injected specimens (10 sides). Main Outcome Measures Qualitative anatomical descriptions in four surgical stages; quantitative and semiquantitative evaluation of relevant landmarks. Results A 5 cm long inverted hockey stick incision was designed to access a corridor posterior to the parotid gland after independent mobilization of nuchal and cervical muscles to expose the retrostyloid PPS. The digastric branch of the facial nerve, which runs 16.5 mm over the anteromedial part of the posterior belly of the digastric muscle before piercing the parotid fascia, was used as a landmark to identify the main trunk of the facial nerve. MIKET corridor was superior to the crossing of the accessory nerve over the internal jugular vein within 17.3 mm from the jugular process. Further exposure of the occipital condyle, vertebral artery, and the jugular bulb was achieved. Conclusion The novel MIKET approach provides in the cadaver straightforward access to the upper and middle retrostyloid PPS through a natural corridor without injuring important neurovascular structures. Our work sets the anatomical nuances and limitations that should guide future clinical studies to prove its efficacy and safety either as a stand-alone procedure or as an adjunct to other approaches, such as the endonasal endoscopic approach.

Epithelioid haemangioendothelioma in the parapharyngeal space

2006 ◽  
Vol 120 (6) ◽  
pp. 505-507 ◽  
Author(s):  
J-C Lee ◽  
B-J Lee ◽  
S-G Wang ◽  
H-W Kim
Keyword(s):  
Endothelial Cells ◽  
Facial Nerve ◽  
Head And Neck ◽  
Soft Tissues ◽  
Parapharyngeal Space ◽  
Malignant Potential ◽  
Vascular Neoplasm ◽  
Cytoplasmic Vacuolation ◽  
Upper And Lower Extremities ◽  
Epithelioid Haemangioendothelioma

Epithelioid haemangioendothelioma (EHE) is an uncommon vascular neoplasm which occurs rarely in the head and neck and has an unpredictable clinical behaviour. It is characterized by round or spindle-shaped endothelial cells with cytoplasmic vacuolation. Most often, EHE arises from the soft tissues of the upper and lower extremities, and it has borderline malignant potential. We describe the first reported case of EHE in the parapharyngeal space, which was treated successfully via a transcervical–transparotid approach (following angiography with embolization), without massive intra-operative bleeding or facial nerve damage.

Sign in / Sign up

Export Citation Format

Share Document