scholarly journals A Case of First Branchial Cleft Fistula Presenting with an External Opening on the Root of the Helical Crus

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Sung Il Cho
Keyword(s):  
Squamous Epithelium ◽  
Type I ◽  
Complete Excision ◽  
Submandibular Region ◽  
Case Presentation ◽  
First Case ◽  
Inappropriate Treatment ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Low Incidence

Background. First branchial cleft anomalies (FBCA) are rare clinical entities of the head and neck. Typically, the tract of the FBCA begins in the external auditory canal and ends in the postauricular or submandibular region. Case Presentation. We present a case of a 23-year-old man who had a first branchial cleft fistula with atypical opening on the root of the helical crus. Complete excision of the tract, including the cuff of surrounding cartilage, was performed. Histopathology revealed a fistular tract lined with squamous epithelium. To our knowledge, this is the first case to be reported of type I FBCA with an opening on the root of the helical crus. The low incidence and varied presentation often result in misdiagnosis and inappropriate treatment. Conclusions. In the patients with FBCA, careful recognition of atypical variants is essential for complete excision.

Branchial cleft and pouch anomalies

1992 ◽  
Vol 106 (2) ◽  
pp. 137-143 ◽  
Author(s):  
G. R. Ford ◽  
A. Balakrishnan ◽  
J. N. G. Evans ◽  
C. M. Bailey
Keyword(s):  
Recurrent Infection ◽  
Theoretical Description ◽  
The Other ◽  
Unexpected Finding ◽  
Neck Swelling ◽  
Complete Excision ◽  
Delay In Diagnosis ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Sick Children

AbstractWe present a retrospective study of 106 patients with branchial cleft and pouch anomalies who presented to the Hospital for Sick Children between 1948 and 1990. The relevant embryology of the branchial apparatus is summarized and a theoretical description of individual anomalies given.Second branchial cleft sinuses were the most common anomalies, and the majority were managed simply, with adequate excision and a low recurrence rate. Five cases of first branchial cleft anomalies are presented, emphasizing the delay in diagnosis, the need for complete excision to prevent recurrence, and for a parotidectomy incision to protect the facial nerve from damage. The two third branchial pouch anomalies presented with a cystic neck swelling, one with recurrent infection and discharge, and the other with stridor. In both, the diagnosis was made at operation. The single fourth branchial pouch cyst was an unexpected finding in a patient with stridor.

Branchial Sinus with Cyst - Two Case Reports with Review of Literature

2021 ◽  
Vol 8 (11) ◽  
pp. 375-377
Author(s):  
Ashoka Nand Thakur ◽  
Priyambada .
Keyword(s):  
Histopathological Examination ◽  
Case Reports ◽  
Branchial Arch ◽  
Pharyngeal Arch ◽  
Review Of Literature ◽  
Complete Excision ◽  
Branchial Cyst ◽  
Branchial Sinus ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft

Branchial cleft anomalies are well described, with the second arch anomaly being the commonest. Remains of cervical sinus of His may persist as a branchial cyst. A branchial sinus is formed when 2nd branchial arch fails to meet the 5th pharyngeal arch. Peak age for presentation of branchial cysts is in the third decade and that of the congenital sinuses and fistulae is at birth. The association of a branchial cyst with branchial sinus is very rare. We are presenting two cases had branchial cyst along with branchial sinus. It was managed successfully with complete excision. Histopathological examination confirmed the association. Keywords: Branchial Sinus, Branchial cyst,

scholarly journals Mucoepidermoid Carcinoma Associated with Osteosarcoma in a True Malignant Mixed Tumor of the Submandibular Region

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Dario Marcotullio ◽  
Marco de Vincentiis ◽  
Giannicola Iannella ◽  
Bruna Cerbelli ◽  
Giuseppe Magliulo
Keyword(s):  
Submandibular Gland ◽  
Mucoepidermoid Carcinoma ◽  
De Novo ◽  
High Grade ◽  
Mixed Tumor ◽  
Submandibular Region ◽  
Case Presentation ◽  
First Case ◽  
Malignant Mixed Tumor ◽  
Benign Mixed Tumor

Introduction. True malignant mixed tumor, also known as carcinosarcoma, is a rare tumor of the salivary gland composed of both malignant epithelial and malignant mesenchymal elements. Frequently carcinosarcoma arises in the background of a preexisting pleomorphic adenoma; however, if no evidence of benign mixed tumor is present, the lesion is known as carcinosarcoma “de novo.” We reported the first case of true malignant mixed tumor of the submandibular gland composed of high grade mucoepidermoid carcinoma associated with osteosarcoma.Case Presentation. A 69-year-old Caucasian male came to our department complaining of the appearance of an asymptomatic left submandibular neoformation progressively increasing in size over 3 months. We opted for surgical treatment. Histological examination confirmed the diagnosis of carcinosarcoma with the coexistence of high grade mucoepidermoid carcinoma and osteosarcoma.Conclusion. To the best of our knowledge, in the true malignant mixed tumor of the submandibular gland, mucoepidermoid carcinoma associated with osteosarcoma has never been previously reported.

scholarly journals Presentation of Branchial Cleft Anomalies: Case Reports and Review of Literature

2018 ◽  
Vol 14 (3) ◽  
pp. 168-171 ◽  
Author(s):  
Apar Pokharel ◽  
TS Rao ◽  
Bikash Pandey ◽  
Chhanya Bhandary ◽  
Prashant Bhatt ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Case Reports ◽  
Surgical Excision ◽  
Operative Outcomes ◽  
First Case ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Branchial Fistula ◽  
Lateral Neck Swelling

Type 2 branchial cleft anomalies are the most common cause of lateral neck swelling. We report two cases of type 2 branchial cleft anomalies. The first case is branchial cleft cyst and the second one is branchial fistula. Both cases were managed surgically. The post operative outcomes were uneventful. Second branchial cleft anomalies are the most common branchial anomalies. Branchial cysts are more common than sinuses and branchial fistulae are extremely rare. There is no gender predilection. The location, clinical symptoms and imaging findings aid in the diagnosis of this condition. Surgical excision is the mainstay of treatment.Keywords: branchial cleft; branchial cyst; branchial fistula.

scholarly journals Lymphoepthelial cyst of submandibular region: a case report

2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Sana Iqbal ◽  
Sufyan Ahmed ◽  
Mehwash Kashif
Keyword(s):  
Submandibular Gland ◽  
Tertiary Care ◽  
Clinical Problem ◽  
Care Hospital ◽  
Lymphoepithelial Cyst ◽  
Submandibular Region ◽  
Case Presentation ◽  
Lymphoepithelial Cysts ◽  
Branchial Cleft ◽  
The Right

Abstract Background The oral lymphoepithelial cyst (LEC) is a rare, soft-tissue, developmental cyst, initially presented by Gold in 1962 as a “branchial cleft cyst”. It may occur in the pancreas, tongue, neck, and other regions of the oral cavity. No study has been reported in Pakistan and Karachi reporting a case of lymphoepithelial cyst in the submandibular region. This rare case of LEC has been reported to help the clinicians to bring LEC into their differential diagnosis for lesions affecting the submandibular region. Case presentation We report a case of 57 years old female reported to the Maxillofacial OPD of a tertiary care hospital with the complaint of swelling on the right side of the neck for 3 weeks which was rapidly increasing in size. She was having difficulty in mastication. On extra-oral examination, there was swelling on the right side in the submandibular area. The overlying skin is normal with no evidence of pus and discharge. On palpation, the swelling was soft, non-tender, non-fluctuant, non-displaceable into the submandibular area. Lymph nodes were impalpable. Excision of the lesion performed under general anesthesia and biopsy revealed lymphoepithelial cyst associated with submandibular gland. Here we present an attention-grabbing case of swelling in the right submandibular region which was provisionally diagnosed as a malignant submandibular lymph node however later evidence histopathologically as a lymphoepithelial cyst of the submandibular gland. Conclusion An unusual cause of swelling in the neck is lymphoepithelial cysts. Submandibular gland appearance is not usual and can prove to be a clinical problem.

scholarly journals Type I second branchial cleft cyst in an adult patient

2021 ◽  
Vol 8 (10) ◽  
pp. 3217
Author(s):  
Ramesh M. Tambat ◽  
Nitish A. Golasangi ◽  
Siddesh G. B. ◽  
Suhas P. ◽  
Yogendra Shrestha ◽  
...  
Keyword(s):  
Significant Risk ◽  
Neck Region ◽  
Rare Condition ◽  
Needle Aspiration ◽  
Type I ◽  
Branchial Cleft Cyst ◽  
Patient Reported ◽  
Branchial Cleft Anomalies ◽  
Second Branchial Cleft Cyst ◽  
Branchial Cleft

Branchial cleft anomalies are rare diseases of head and neck region. Second branchial cleft anomalies represent more than 95% of all branchial cleft anomalies. Second branchial cleft cyst is a benign developmental cyst due to the incomplete obliteration of pharyngeal cleft. A 46-year-old female patient reported to hospital with a complaint of swelling over the left side of the neck since 4 to 5 months. On clinical examination, swelling was seen below and behind the angle of mandible on the left side. The patient was evaluated using ultrasound and contrast enhanced computerized tomography (CECT) of neck which revealed second left bronchial cleft cyst/enlarged cystic lymph-node. Fine needle aspiration cytology of the swelling showed features of cystic lesion. Type-I branchial cleft cyst is a rare condition with a significant risk of misdiagnosis. To avert misdiagnosis and surgical complications, thorough investigation must be performed prior to surgical intervention.

scholarly journals Submental midline branchial cleft cyst: a first case report in literature

2019 ◽  
Vol 5 (3) ◽  
pp. 808
Author(s):  
Mada Lakshmi Narayana ◽  
Vivek Viswambharan ◽  
B. N. Kumarguru
Keyword(s):  
Congenital Abnormality ◽  
Cystic Lesion ◽  
Squamous Epithelium ◽  
Branchial Cleft Cyst ◽  
Lateral Aspect ◽  
Tongue Protrusion ◽  
First Case ◽  
Stratified Squamous Epithelium ◽  
Branchial Cleft ◽  
Branchial Cleft Cysts

<p class="abstract">A branchial cleft cyst is a congenital abnormality typically located over the lateral aspect of neck. A 3 year old boy presented with a gradually progressive painless swelling below his chin since 1 year. CT scan demonstrated well defined cystic lesion in submental region. Excision was done and histopathology showed the cyst lined by stratified squamous epithelium and at places lined by pseudo stratified ciliated columnar epithelium with subepithelial lymphocytes suggesting branchial cyst. Branchial cleft cysts should also be considered as one of the differential diagnoses in cystic midline lesions of the neck, if it’s not moving with deglutition and with tongue protrusion.</p>

Bilateral Ear Canal Cholesteatoma with Underlying Type I First Branchial Cleft Anomalies

2019 ◽  
Vol 128 (4) ◽  
pp. 360-364 ◽  
Author(s):  
Renee M. Banakis Hartl ◽  
Sherif Said ◽  
Scott E. Mann
Keyword(s):  
Careful Consideration ◽  
Initial Assessment ◽  
Type I ◽  
Branchial Cleft Cyst ◽  
Ear Canal ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Pathologic Analysis ◽  
Underlying Diseases ◽  
Work Up

Objectives: To describe a case of bilateral ear canal cholesteatomas in the setting of underlying first branchial cleft cyst anomalies and to review the pathophysiology underlying the development of external auditory canal cholesteatomas from branchial cleft cyst abnormalities. Methods and Results: We present a case study of a 61-year-old man who presented with chronic right-sided hearing loss and left-sided postauricular drainage. Clinical evaluation, radiographic work-up, and pathologic analysis confirmed a diagnosis of bilateral ear canal cholesteatoma in the setting of underlying first branchial cleft cyst anomalies. The patient’s clinical course, surgical treatment, and management considerations are discussed here. Conclusion: Ear canal cholesteatoma represents a rare clinical disease entity deserving a thorough initial assessment. Careful consideration of underlying diseases that result in chronic inflammation, such as branchial cleft lesions, should be included in the differential diagnosis of idiopathic canal cholesteatoma in the absence of prior otologic surgery or trauma.

scholarly journals Three cases of branchial fistula in one family: a rare presentation

2019 ◽  
Vol 5 (5) ◽  
pp. 1425
Author(s):  
Rupa Mehta ◽  
Jyoti Ranjan Das ◽  
Nitin M. Nagarkar
Keyword(s):  
Family History ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
Internal Opening ◽  
Rare Presentation ◽  
Complete Excision ◽  
Complete Surgical Excision ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Branchial Fistula

<p>Branchial cleft anomalies comprise approximately 30% of congenital neck mass and present as cyst, sinus or fistula. They occur due to disturbance in the maturation of the branchial apparatus during fetal development. They are congenital lesions usually present in childhood, but they are usually diagnosed in later childhood or early adulthood because of enlargement or infection. Branchial cleft fistulae are usually diagnosed earlier than cysts. Correct diagnosis leads to proper management. Complete surgical excision is the treatment of choice. Second branchial cleft and pouch anomalies are commonest amongst all branchial cleft lesions, but complete second branchial cleft anomalies with external and internal opening is rare. Branchial anomalies with family history are also very rare. Here we present a case report of complete branchial fistula with family history which was managed by complete excision of fistula through transcervical and transoral approaches. 3 members of one family in 2 generations presented with branchial apparatus anomalies (father and his two children, elder son and younger daughter). All of them were having branchial fistula on right side of neck since birth.</p>

scholarly journals First Branchial Cleft Malformation with Duplication of External Auditory Canal

2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Pradipta Kumar Parida ◽  
Arun Alexander ◽  
Kalairasi Raja ◽  
Gopalakrishnan Surianarayanan ◽  
Sivaraman Ganeshan
Keyword(s):  
Computerized Tomography ◽  
External Auditory Canal ◽  
Secondary Infection ◽  
Correct Diagnosis ◽  
Rare Occurrence ◽  
Inappropriate Treatment ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft

First branchial cleft anomalies are uncommon, accounting for less than 10% of all branchial abnormalities. Their rare occurrence and varied presentation have frequently led to misdiagnosis and inadequate and inappropriate treatment of these conditions leading to repeated recurrences and secondary infection. In this paper, a case of 11-year girl with type 2 first branchial cleft defect is described. She first presented with a nonhealing ulcer of upper neck from childhood. Diagnosis had previously been missed and treated as tubercular ulcer. We confirmed the correct diagnosis by history and computerized tomography fistulogram. The lesion was completely excised with no further recurrence.

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