scholarly journals BRANCHIAL CLEFT CYST;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Muhammad Arshad ◽  
Umair Ashafaq ◽  
Mohammad Aslam
Keyword(s):  
Head And Neck ◽  
Surgical Excision ◽  
Lateral Part ◽  
Neck Swelling ◽  
Branchial Cleft Cyst ◽  
Recurrence Rates ◽  
Complete Excision ◽  
Duration Of Symptoms ◽  
Complete Surgical Excision ◽  
Branchial Cleft

Background: Branchial cleft cyst is rare congenital anomaly and most common cause of head and neck pathology in children. Second branchial cyst accounts 95 % of the all brnchial anomalies. It mostly manifest in 2nd and 3rd decade of life. Early diagnosis, controlling the infection status and complete excision without nerve injury is mainstay of treatment. Recurrence rates is very low after complete surgical excision. Study Design: Retrospective study. Setting: Department of Otolaryngology, Head and Neck Surgery, Benazir Bhutto Hospital Rawalpindi. Period: 02 year from August 2016 to July 2018. Methods: 04 cases of branchial anomalies. Age, sex, and duration of symptoms were noted from the case records. The side and site of the lesion and the site of opening of sinuses and fistula were noted. The cystic lesions were investigated with ultrasound and CT scan. Surgical excision of cyst and sinus done. Results: The structure of the studied group was as follows: the ratio men/women was of approximately 3/1; the ratio branchial cysts/branchial sinuses/branchial fistulae = 2/2/0.  Age ranged from 16 to 27 years. Two patients presented with left neck swelling and one patient presented with right neck swelling and one with right sided discharging sinus. Complete surgical excision was done in all cases and no complication occured. Conclusion: Branchial cysts are commonly misdiagnosed and rarely included in the differential diagnosis. Physician should suspect in any patient with a swelling in the lateral part of the neck.

scholarly journals Branchial Cysts in Quito, Ecuador

2020 ◽  
Vol 24 (03) ◽  
pp. e347-e350
Author(s):  
Luis Pacheco-Ojeda ◽  
Andrés Ayala-Ochoa ◽  
Karla Salvador
Keyword(s):  
General Hospital ◽  
Surgical Resection ◽  
Adult Population ◽  
Tertiary Care ◽  
Surgical Excision ◽  
Branchial Cleft Cyst ◽  
Complete Surgical Excision ◽  
Branchial Cleft ◽  
Lower Neck ◽  
Clinical Records

Introduction Branchial cleft anomalies are the second most common congenital anomaly in children. However, some lesions may not develop clinically and are not diagnosed until adulthood. The recent literature of branchial cysts (BCs) in the adult population is really scanty. For this reason, we analyzed the clinical and surgical management of the adult population treated for a BC at a tertiary care general hospital. Methods A retrospective review of the clinical records of all the patients with histological diagnosis of BC who were surgically treated at the Social Security Hospital in Quito, Ecuador, was performed. Fifty-one patients (27 women) with congenital anomalies of the 2nd (43 patients with cysts) and 3rd (6 patients with cysts and 2 with fistula) branchial arches were diagnosed and treated. Diagnosis was made on clinical grounds and by computed tomography scan. Results The 43 patients with a 2nd branchial cleft cyst underwent complete surgical excision through a wide mid-neck transverse cervicotomy. The 6 cases of 3rd branchial cleft cyst underwent surgical resection through a lower-neck transverse incision, and the 2 patients with clinical fistula in the lower aspect of the neck were operated on via an elliptical incision around this external fistula opening. Postoperative evolution was uneventful in all patients. Conclusions Branchial cysts can occasionally be diagnosed in adult patients in the setting of a general hospital population. A correct clinical and imaging assessment was diagnostic in most patients. Complete surgical resection was curative in all our patients, and postoperative complications were exceptional.

scholarly journals Orbital Schwannoma

2020 ◽  
Vol 81 (04) ◽  
pp. 376-380
Author(s):  
Mark B. Chaskes ◽  
Mindy R. Rabinowitz
Keyword(s):  
Surgical Excision ◽  
Treatment Goals ◽  
Resonance Imaging ◽  
Recurrence Rates ◽  
Complete Excision ◽  
Representative Case ◽  
Presenting Symptoms ◽  
Complete Surgical Excision ◽  
Imaging Characteristics ◽  
Magnetic Resonance Imaging Mri

AbstractOrbital schwannomas are rare neoplasms of the orbit. The presenting symptoms are often nonspecific. Classic imaging characteristics seen on magnetic resonance imaging (MRI) and orbital ultrasound can be useful to help aid in the diagnosis of orbital schwannoma. When diagnosed, the goal of treatment is complete surgical excision. The location of the tumor within the orbit dictates which surgical approach would provide the best exposure. When complete excision is achieved, recurrence rates are very low.This article addresses the etiology, patient population, presentation, natural history, and differential diagnosis of orbital schwannomas. Imaging characteristics and histopathologic subtypes are reviewed. Treatment goals, approaches, and specialties involved in the management of these patients is discussed. Finally, a representative case is presented.

scholarly journals Type III Second Branchial Cleft Cyst

2012 ◽  
Vol 3 (2) ◽  
pp. 112-114
Author(s):  
Priti Rakesh Dhoke ◽  
Sonali Prabhakar Khadakkar ◽  
Kanchan Sandeep Dhote ◽  
Samir Vijay Choudhary ◽  
Vivek Vishwas Harkare ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Surgical Excision ◽  
Cervical Region ◽  
External Carotid ◽  
Branchial Cleft Cyst ◽  
Tissue Mass ◽  
Type Iii ◽  
Complete Surgical Excision ◽  
Second Branchial Cleft Cyst ◽  
Branchial Cleft

ABSTRACT Cervical congenital cystic masses constitute an uncommon group of lesions usually diagnosed in infancy and childhood. Branchial cleft cysts are congenital lateral neck masses which manifest in the adolescents or in adulthood. They arise from the remnants of the branchial apparatus of embryonic life. Here, in this case, patient was presented with branchial cleft cyst at the age of 70 years. Computed tomography of neck showed well-circumscribed soft tissue mass extending from parotid region to lower cervical region with small ill-defined extension between internal and external carotid arteries which is pathognomonic of type III second branchial cleft cyst. Complete surgical excision was done. Histopathological examination confirmed the diagnosis of branchial cleft cyst. How to cite this article Choudhary SV, Khadakkar SP, Harkare VV, Dhoke PR, Dhote KS, Kamal NP. Type III Second Branchial Cleft Cyst. Int J Head Neck Surg 2012;3(2):112-114.

scholarly journals Lipofibromatosis: An Unusual Head and Neck Mass in the Paediatric Age Group

2011 ◽  
Vol 26 (1) ◽  
pp. 39-41
Author(s):  
Yogender Singh Kadian ◽  
Kamal Nain Rattan ◽  
Shalini Aggarwal ◽  
Shilpi Modi ◽  
Rajnish Kalra
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Soft Tissue Neoplasm ◽  
Complete Excision ◽  
Complete Surgical Excision ◽  
Paediatric Age ◽  
Rare Lesion

Objective: To describe a rare case of lipofibromatosis presenting as a head and neck mass in a 6-year-old child.   Method: Design: Case Report Setting: Tertiary Public General Hospital Patient: One   Result: A six-year-old male child admitted with a large right head and neck region mass underwent complete excision of a possible soft tissue neoplasm following investigations which included Fine Needle Aspiration Cytology, Ultrasonography and Computed Tomography. Histopathological examination yielded lipofibromatosis, a very rare lesion with a distinctive fibrofatty pattern. The patient was well with no recurrence after three months of follow up.   Conclusion: Although lipofibromatosis is a rare lesion in children and has a predilection for distal extremities, it may also present as a mass in the head and neck area. Complete surgical excision is feasible and is the only treatment option available for this rare lesion   Keywords: lipofibromatosis

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>

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.

scholarly journals A rare clinical case: schwannoma of tongue

2019 ◽  
Vol 5 (3) ◽  
pp. 789
Author(s):  
Chandra Veer Singh ◽  
Sheetal Radia ◽  
Saalim Sheikh ◽  
Vijay Haribhakti
Keyword(s):  
Head And Neck ◽  
Rare Case ◽  
Neck Region ◽  
Surgical Excision ◽  
Imaging Studies ◽  
Head And Neck Tumours ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Slow Growing ◽  
Rule Out

<p class="abstract">Schwannoma are slow growing tumours, which can arise from any peripheral nerve. 10% of schwannomas that occur in the head and neck region mostly originate from the vagus or sympathetic nervous system. Extracranial schwannomas in the head and neck region are rare neoplasm. Intraoral schwannoma are only 1% of the all head and neck tumours. Diagnosis is established by imaging studies such as magnetic resonance imaging or computed tomography, while FNAC is used to rule out other conditions. We report a rare case of lingual schwannomas generally present as a painless lump schwannoma of the tongue in a 27-year-old male complaining of asymptomatic swelling over a posterolateral surface of the tongue, treated by complete surgical excision. The diagnosis was established on the basis of clinical, histopathological, and immunohistochemical examination. We report a rare case of schwannoma over the posterolateral surface of tongue. Prognosis is good for the patient when this condition is correctly diagnosed as the condition rarely recurs after complete resection.</p>

scholarly journals Juvenile Nasopharyngeal Angiofibroma - Excision Through Lateral Rhinotomy and Sublabial Approach - A Case Report

1970 ◽  
Vol 20 (1) ◽  
pp. 78-81
Author(s):  
NK Sinha ◽  
MH Rashid ◽  
MM Shaheen ◽  
DC Talukder ◽  
MAY Fakir ◽  
...  
Keyword(s):  
Surgical Excision ◽  
Complete Removal ◽  
Definitive Treatment ◽  
Surgical Approaches ◽  
Complete Excision ◽  
Nasopharyngeal Angiofibroma ◽  
Male Adolescents ◽  
Large Size ◽  
Complete Surgical Excision ◽  
Sublabial Approach

Juvenile angiofibroma is a rare hypervascular, locally aggressive benign tumour which is exclusively found in the nose and paranasal sinuses of male adolescents. The definitive treatment for this tumour is complete surgical excision. Different surgical approaches are used for complete excision. Most recent development is excision of the tumour using endoscopes. But in certain cases with large size and different extensions, open transfacial approaches are the choice for complete removal and for less operative bleeding, which are the main challenges for surgical excision of this tumour. DOI: http://dx.doi.org/10.3329/jdmc.v20i1.8587 J Dhaka Med Coll. 2011; 20(1) :78-81

scholarly journals Asymptomatic nodule on face: Dermoscopic and histopathological clue for diagnosis

2020 ◽  
Vol 17 (1) ◽  
pp. 63-65
Author(s):  
Anisha Joshi ◽  
Deeptara Pathak Thapa
Keyword(s):  
Head And Neck ◽  
Peripheral Nerves ◽  
Neck Region ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Complete Excision ◽  
Head And Neck Region ◽  
The Common ◽  
Slow Growing ◽  
Rare Diagnosis

Schwannomas/ neurilemmomas are benign tumors of nerve sheath arising from Schwann cells that form myelin sheath around peripheral nerves. They are usually solitary, slow growing and encapsulated lesions. Head and neck are the common sites. We report a case of a 38 years old Nepalese female who had presented with a solitary asymptomatic, slow growing nodule on the left side of the chin for the last three years. Dermoscopy of the lesion revealed arborizing vessels with brownish pigmentation overlying a whitish to pinkish background. Complete excision of the lesion was performed. Histopathological evaluation of the lesion revealed schwannoma. Though schwannomas are a rare diagnosis, they should be considered as a differential diagnosis of any unilateral, asymptomatic, slow growing nodule in the head and neck region. Dermoscopy is a useful tool which helps to differentiate schwannoma from other lesions. Histopathology is the gold standard for diagnosis and the treatment of choice is surgical excision.  

scholarly journals Pilomatrixoma of the head and neck: Typical presentation of a rare lesion

Ultrasound ◽  
2019 ◽  
Vol 28 (1) ◽  
pp. 51-53
Author(s):  
Mert Sirakaya ◽  
Sanjay Vydianath
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Hair Follicles ◽  
Branchial Cleft Cyst ◽  
Head And Neck Region ◽  
History Of ◽  
Rare Lesion ◽  
Branchial Cleft ◽  
Clinical Differential Diagnosis ◽  
Benign Tumours

Pilomatrixomas are benign tumours of primitive hair follicles, usually presenting as painless lumps in the head and neck region in children. As they are uncommon, they are often misdiagnosed clinically. We discuss a case of a five-year-old boy presenting with a five-month history of a pre-auricular lump. The initial clinical differential diagnosis was of a dermoid or a branchial cleft cyst. However, on ultrasonography the lesion was typical of a pilomatrixoma. The imaging literature is reviewed to illustrate the sonographic appearances of pilomatrixomas.

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