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.

scholarly journals First branchial cleft fistula: a case report

2020 ◽  
Vol 6 (8) ◽  
pp. 1568
Author(s):  
Rupa Mehta ◽  
Ankit Mishra ◽  
Nitin M. Nagarkar ◽  
Vandita Singh
Keyword(s):  
Facial Nerve ◽  
External Auditory Canal ◽  
Fistulous Tract ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Cervical Region ◽  
Lateral Part ◽  
Complete Excision ◽  
Nerve Preservation ◽  
Branchial Cleft

<p class="abstract">First branchial cleft anomalies (BCA) are a rare finding in head and neck with incidence nearly- incidence of nearly 1 million per year which are distributed below external auditory canal, above the hyoid bone, anterior to sternocleidomastoid and posterior to submandibular triangle. First branchial cleft cysts are frequently misdiagnosed as they are rare and pose unfamiliar clinical signs and symptoms. Here we are reporting a case of surgical management of 1st branchial cleft fistula in a 5 years old male child from AIIMS, Raipur, Chhattisgarh, India as it’s a rare entity. Child presented with discharge from right upper part of neck. There was a swelling in right upper lateral part of neck with an opening also in floor of right external auditory canal (EAC). Contrast enhanced computed tomography of neck showed a 4.8 cm long obliquely oriented fistulous tract opening at junction of middle and upper one third of sternocleidomastoid with opening in right EAC. Surgical excision of the fistulous tract was done with preservation of facial nerve. Histopathology examination confirmed the presence of fistula. Common clinical presentation of BCAs is pre-auricular swelling (24%), parotid swelling (36%) or cervical region swelling (41%). In our case, it was a fistulous opening that presented as discharging tract in upper neck. Management include early diagnosis, control of infection and complete excision with facial nerve preservation Surgical approach should be based on the clinical examination, imaging and clinical course; and there is a need to safely identify and preserve facial nerve in almost all cases.</p>

scholarly journals Collaural fistula (Work Type II first branchial cleft anomaly) with prolonged morbidity: A case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110145
Author(s):  
Dorji Penjor ◽  
Morimasa Kitamura
Keyword(s):  
External Auditory Canal ◽  
Fistulous Tract ◽  
Type Ii ◽  
Complete Excision ◽  
Incision And Drainage ◽  
Branchial Cleft ◽  
Repeated Infections ◽  
Branchial Anomalies ◽  
Work Type

Collaural fistula is a very rare Work Type II first branchial cleft anomaly in which there is a complete fistulous tract between external auditory canal and the neck. Misdiagnosis and mismanagement can lead to prolonged morbidity and complications due to repeated infections. We present a case of an 18-year-old lady with a recurrent discharging sinus on her neck for 4 years. She has been treated with repeated incision and drainage and multiple antibiotics in the past. Otoscopic examination revealed an opening on the floor of the left external auditory canal. A diagnosis of an infected collaural fistula was made. Complete excision of the fistulous tract was done after treatment of the active infection. On follow-up, there was no further recurrence at 1 year. Sound knowledge of embryology of branchial anomalies with good history and examination is important to make correct and early diagnosis to prevent morbidity.

scholarly journals Endoscopic resection through a retrosigmoid transmeatal approach of a large-sized vestibular schwannoma: operative video and technical nuances

2021 ◽  
Vol 5 (2) ◽  
pp. V2
Author(s):  
Sebastián J. M. Giovannini ◽  
Guido Caffaratti ◽  
Tomas Ries Centeno ◽  
Mauro Ruella ◽  
Facundo Villamil ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Surgical Management ◽  
Endoscopic Resection ◽  
Vestibular Schwannoma ◽  
Cerebellopontine Angle ◽  
Residual Tumor ◽  
Nerve Preservation ◽  
The Past ◽  
Surgical Access ◽  
Cerebellar Retraction

Surgical management of vestibular schwannomas has improved over the last 30 years. Whereas in the past the primary goal was to preserve the patient’s life, today neurological function safeguarding is the main objective, with numerous strategies involving single resection, staged resections, postoperative radiosurgery, or single radiosurgery. The retrosigmoid approach remains the primary pathway for surgical access to the cerebellopontine angle (CPA). The use of an endoscope has great advantages. It contributes to the visualization and resection of residual tumor and also reduces the need for cerebellar retraction. The authors present a fully endoscopic resection of a large-sized vestibular schwannoma with facial nerve preservation. The video can be found here: https://stream.cadmore.media/r10.3171/2021.7.FOCVID21106

scholarly journals Fourth Branchial Anomaly Presenting with a Lateral Neck Mass in a Neonate

2014 ◽  
Vol 3 (3) ◽  
Author(s):  
Tae-Kyung Yoo ◽  
Soo-Hong Kim ◽  
Hyun-Young Kim ◽  
Kwi-Won Park
Keyword(s):  
Differential Diagnosis ◽  
Neck Mass ◽  
Lateral Neck ◽  
The Third ◽  
Neck Masses ◽  
Important Differential Diagnosis ◽  
Branchial Cleft Anomalies ◽  
Uncommon Case ◽  
Branchial Cleft ◽  
Branchial Anomalies

Branchial cleft anomalies are an important differential diagnosis in congenital neck masses in infants. The third and fourth branchial anomalies are rare branchial cleft anomalies, which are hard to differentiate. We report here an uncommon case of the fourth branchial anomaly that was presented as an asymptomatic neck mass in a neonate.

Bilateral First Branchial Cleft Cysts: Case Report and Literature Review

1977 ◽  
Vol 86 (6) ◽  
pp. 849-851 ◽  
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.

scholarly journals Endoscopic Management of Recurrent Third Branchial Fistula using Histoacryl Glue

2018 ◽  
Vol 9 (1) ◽  
pp. 2
Author(s):  
M Z Naveed ◽  
A Naveed ◽  
A Irfanullah
Keyword(s):  
Fistulous Tract ◽  
Surgical Excision ◽  
Branchial Arch ◽  
Endoscopic Management ◽  
Cyanoacrylate Glue ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Branchial Fistula ◽  
Minimally Invasive Methods

Third branchial cleft anomalies are rare accounting for 2-8% of all branchial abnormalities. We report a case of a 9 year old boy who presented with discharging sinus on the left side of neck. A sinogram revealed third branchial arch fistula. The tract was surgically removed, however, on follow up the fistula was recurred. He was later taken for endoscopic cauterization and injection of Histoacryl (n-Butyl cyanoacrylate ) glue into the tract, after which his wound healed swiftly. Historically, surgical excision of the fistulous tract has been the mainstay of treatment. Recently, minimally invasive methods are gaining wider acclaim and may potentially become the treatment of choice in the future.

scholarly journals Second branchial cleft anomalies: a review of 12 cases

2019 ◽  
Vol 5 (4) ◽  
pp. 1075
Author(s):  
Niral R. Modi ◽  
Jamin Anadani ◽  
Sanjay M. Tota
Keyword(s):  
Surgical Excision ◽  
Age Group ◽  
Neck Swelling ◽  
Mri Scan ◽  
Anterior Neck ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Branchial Anomalies ◽  
Age And Sex

<p class="abstract"><strong>Background:</strong> It is a combined retrospective and prospective study of 12 cases of branchial cleft anomalies presented to our hospital. We analysed them for their age and sex incidence, side prevalence, according to clinical features and treatment outcomes.</p><p class="abstract"><strong>Methods:</strong> Thorough history was taken and examination was done and these cases are investigated with CT scan, MRI scan and treated with surgical excision.  </p><p class="abstract"><strong>Results:</strong> Cyst is seen in 7 (58.33%) patients while one case of sinus and one (8.33%) of fistula,1 case of co-existing sinus and fistula (8.33%), and one Bilateral sinus and 1 bilateral fistula (8.33%) were seen. Overall incidences of branchial anomalies are more (40%) in 11-15 year age group. Overall incidence of branchial anomalies is more in male (66.66%) than female (33.33%). 4 cysts were right sided and 3 were left sided. Sinus and fistula were seen one case having right sided and 1 case having bilateral anomaly. Patients having branchial cysts presents most commonly with neck swelling and pain while patients having fistula and sinus presents commonly with discharging opening over anterior neck. 1 case of recurrence found in cyst on follow up and no recurrences were seen in sinus and fistula.</p><p class="abstract"><strong>Conclusions:</strong> Cyst is the most common anomaly, most commonly affected age group is 11-15 years, male are more commonly affected, these anomalies are more prevalent on right side, and there are very less chances of recurrence after surgical excision.</p>

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