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Combined approach branchial sinusectomy: a new technique for excision of second branchial cleft sinus

Published online by Cambridge University Press:  31 July 2009

A D Olusesi
A D Olusesi*
Affiliation:
Department of Ear, Nose and Throat, National Hospital, Abuja, Nigeria
*
Address for correspondence: Dr Abiodun D Olusesi, Department of Ear, Nose and Throat, National Hospital, Plot 132, Central Area, Garki (Phase 2), Abuja, FCT, Nigeria. E-mail: [email protected]
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Abstract

Objective:

Branchial cleft anomalies are well described, with the second arch anomaly being the commonest. Following surgical excision, recurrence occurs in 2 to 22 per cent of cases, and is believed to be due largely to incomplete resection. This report aims to describe a simple surgical technique for treatment of second branchial cleft sinus in the older paediatric age group and adults.

Methodology:

An 11-year-old girl underwent surgical excision of a second branchial sinus. Prior to surgery, she was assessed by means of an imaging sonogram, and by direct methylene blue dye injection into the sinus on the operating table, followed by insertion of a metallic probe. Dissection was of the ‘step ladder’ incision type, but the incision was completed via an oropharyngeal approach. Histological examination of the lesion after excision established the diagnosis. No recurrence had been observed at the time of writing.

Conclusions:

Although they are congenital lesions, second branchial cleft abnormalities usually present in the older paediatric age group or even in adulthood. In the case reported, a simple combined approach ensured completeness of resection.

Keywords

Branchial SinusFistulaNeckOtorhinolaryngologic Surgical Procedures
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 10 , October 2009 , pp. 1166 - 1168
Copyright
Copyright © JLO (1984) Limited 2009

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