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

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.

Download Full-text

Type I second branchial cleft cyst in an adult patient

International Surgery Journal ◽

10.18203/2349-2902.isj20214030 ◽

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.

Download Full-text

CLINICAL CHARACTERISTICS, RESULTS OF SURGICAL TREATMENT IN CONGENITAL CYST AND FISTULAS OF THE OTORHINOLARYNGOLOGY

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2017.5.32 ◽

2017 ◽

pp. 226-232

Author(s):

Manh Hoang Le ◽

Tu The Nguyen ◽

Van Dung Phan

Keyword(s):

Surgical Treatment ◽

Clinical Characteristics ◽

Neurological Complications ◽

University Hospital ◽

Type I ◽

Branchial Cleft Cyst ◽

Congenital Cyst ◽

Pathologic Features ◽

Key Words Cyst ◽

Branchial Cleft

Background: To study the clinical characteristics, results of surgical treatment in congenital cyst and fistulas of the otorhinolaryngology. Patients: 74 patients diagnosed congenital cyst and fistulas of the otorhinolaryngology was treated with surgery, from May 2016 to June 2017 at Hue University Hospital, Hue Central Hospital and Da Nang Hospital for women and children. Main outcome measure: diagnosis, the clinical and pathologic features, the method and the results of surgical treatment. Results: We identified 74 patients, 83.8% of them had the preauricular fistula, 9.5% had thyroglossal fistula, 4.1% had type II branchial cleft cyst, 1.4% had type I branchial cleft cyst and 1.4% had pyriform sinus fistula. The pathologic feature: inflammation, abscess accounted for 52.7%, normal accounted for 47.3%. Complications after surgery: 1.4% of mild complications are hematoma and 1.4% of infection after surgery, without neurological complications. Recurrence after surgery: 1.4%. Conclusions: In all types of congenital cyst and fistulas of the otorhinolaryngology, preauricular fistula is the highest, the most common form of injury is inflammation, abscesses. Complications after surgery are mild, without neurological complications. Key words: cyst, fistula, congenital, results of surgical treatment

Download Full-text

Bilateral First Branchial Cleft Cysts: Case Report and Literature Review

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348947708600622 ◽

1977 ◽

Vol 86 (6) ◽

pp. 849-851 ◽

Cited By ~ 3

Author(s):

Harmon E. Schwartz ◽

Thomas C. Calcaterra

Keyword(s):

Case Report ◽

Literature Review ◽

Surgical Management ◽

Branchial Cleft Cyst ◽

Review Of The Literature ◽

Similar Lesion ◽

Prior Report ◽

Branchial Cleft Anomalies ◽

Branchial Cleft ◽

Branchial Cleft Cysts

Instances of first branchial cleft anomalies are quite uncommon. A patient with a first branchial cleft cyst was seen and surgically treated at UCLA Hospital in 1972. Three years later he developed a similar lesion on the opposite side of his neck and this also was surgically excised. A review of the literature has revealed only one prior report of bilateral first branchial cleft anomalies. The embryogenesis, diagnosis, and surgical management of these lesions are discussed in this paper.

Download Full-text

An unusual presentation of branchial cyst mimicking carotid body tumor

International Surgery Journal ◽

10.18203/2349-2902.isj20174540 ◽

2017 ◽

Vol 4 (10) ◽

pp. 3561

Author(s):

Tharun Ganapathy C. ◽

Abinayaah Suresh ◽

Manimaran P.

Keyword(s):

Carotid Body ◽

Hypoglossal Nerve ◽

Carotid Bifurcation ◽

Unusual Presentation ◽

Lateral Neck ◽

Branchial Cleft Cyst ◽

Branchial Cyst ◽

Neck Masses ◽

Branchial Cleft Anomalies ◽

Branchial Cleft

Branchial cleft anomalies are a common cause of lateral neck masses and may present with infection, cyst enlargement or fistulae. Abscesses and necrotic adenopathy can also be difficult to distinguish from a branchial cyst, particularly if it has previously been infected. Here we report an unusual presentation, a case of a branchial cleft cyst in a 19-year old girl completely encasing the carotid bifurcation and encircling the hypoglossal nerve mimicking a carotid body tumour

Download Full-text

Branchial Cleft Cyst Posterior to the Carotid Vessels

Ear Nose & Throat Journal ◽

10.1177/014556139507401110 ◽

1995 ◽

Vol 74 (11) ◽

pp. 774-776 ◽

Cited By ~ 4

Author(s):

David J. Halvorson ◽

Edward S. Porubsky

Keyword(s):

Anatomical Landmarks ◽

Branchial Cleft Cyst ◽

Branchial Arches ◽

Branchial Cleft Anomalies ◽

Second Branchial Cleft Cyst ◽

Branchial Cleft ◽

The Common ◽

Carotid Vessels ◽

Relationship Of ◽

The Relationship

Branchial cleft anomalies may appear as a sinus fistula or cyst. An understanding of the developmental embryology and anatomy can predict branchial cleft anomalies by the relationship of the corresponding branchial arches that form at the time of development. The second branchial cleft anomalies are the most common and may be found along a tract from the anterior border of the sternocleidomastoid muscle anterior to the carotid vessels and IX and XII. A cyst may form anywhere along this tract but most commonly is just lateral to the internal jugular vein anterior to the carotid vessels. We describe a patient with a second branchial cleft cyst that was posterior to the carotid vessels documented by computed tomography. The cyst was found intraoperatively to be clearly posterior to the common carotid artery. This case demonstrates the need for an understanding of developmental embryology, anatomical landmarks and variations.

Download Full-text

A Type I first branchial cleft cyst masquerading as a parotid tumor

National Journal of Maxillofacial Surgery ◽

10.4103/0975-5950.140189 ◽

2014 ◽

Vol 5 (1) ◽

pp. 84 ◽

Cited By ~ 4

Author(s):

Arvind Krishnamurthy ◽

Vijayalakshmi Ramshanker

Keyword(s):

Type I ◽

Parotid Tumor ◽

Branchial Cleft Cyst ◽

Branchial Cleft

Download Full-text

An unusual otoscopic finding associated with a type II first branchial cleft anomaly

The Journal of Laryngology & Otology ◽

10.1017/s0022215111003240 ◽

2011 ◽

Vol 126 (3) ◽

pp. 316-318 ◽

Cited By ~ 3

Author(s):

A J Ebelhar ◽

K Potts

Keyword(s):

Case Report ◽

Early Recognition ◽

Acute Infection ◽

Subsequent Development ◽

Interesting Case ◽

Type Ii ◽

Branchial Cleft Cyst ◽

Fibrous Band ◽

Branchial Cleft Anomalies ◽

Branchial Cleft

AbstractObjective:We report an interesting case involving a child with a branchial cleft anomaly with two fistulous tracts, one of which was associated with an unusual otoscopic finding.Case report:A seven-year-old girl presented with an apparent type II first branchial cleft cyst after an acute infection. Parotidectomy and excision of the tract were performed, with subsequent development of pre-auricular swelling three months later. Further surgery was performed to remove a second duplication anomaly of the external auditory canal. Otomicroscopy showed a fibrous band arising from the wall of the canal and attached to the tympanic membrane at the umbo.Conclusion:Otoscopic findings on physical examination can be important diagnostic clues in the early recognition of branchial cleft anomalies. The classification system proposed by Work may fail to describe some branchial cleft lesions.

Download Full-text

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

Case Reports in Medicine ◽

10.1155/2018/4215802 ◽

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.

Download Full-text

First Branchial Cleft Anomalies: Rare Work Type I and Type II Entities

Ear Nose & Throat Journal ◽

10.1177/01455613211015737 ◽

2021 ◽

pp. 014556132110157

Author(s):

Konstantinos Tarazis ◽

Konstantinos Garefis ◽

Maria Garefi ◽

Vasilios Nikolaidis ◽

Angelos Chatziavramidis ◽

...

Keyword(s):

Parotid Gland ◽

Type I ◽

Type Ii ◽

Branchial Cleft Anomalies ◽

Branchial Cleft ◽

Branchial Anomalies ◽

Work Type

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.

Download Full-text