Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-05T04:33:32.880Z Has data issue: false hasContentIssue false
  • English
  • Français

Branchial cleft and pouch anomalies

Published online by Cambridge University Press:  29 June 2007

G. R. Ford ,
A. Balakrishnan ,
J. N. G. Evans  and
C. M. Bailey
G. R. Ford*
Affiliation:
London
A. Balakrishnan
Affiliation:
London
J. N. G. Evans
Affiliation:
London
C. M. Bailey
Affiliation:
London
*
Mr G.R. Ford, F.R.C.S., ENT Department, Cambridge Military Hospital, Aldershot, Hants GUI 12AN
Get access Rights & Permissions [Opens in a new window]

Abstract

We 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.

Keywords

BranchiomaBranchial regionFistulaSinus
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 2 , February 1992 , pp. 137 - 143
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Belenky, W. M, Medina, J. E. (1980) First branchial cleft anomalies. Laryngoscope, 90: 28–39.CrossRefGoogle ScholarPubMed
Burge, D., Middleton, A. (1983) Persistent pharyngeal pouch derivatives in the neonate. Journal of Paediatric Surgery, 18: 230–234.CrossRefGoogle ScholarPubMed
Feldman, J. I., Kearns, D. B., Pransky, S. M., Seid, A. B. (1990) Catheterization of branchial sinus tracts. A new method. International Journal of Pediatric Otorhinolaryngology, 20: 1–5.CrossRefGoogle ScholarPubMed
Godin, M. S., Kearns, D. B., Pransky, S. M, Seid, A. B., Wilson, D. B. (1990) Fourth Branchial Pouch Sinus: Principles of Diagnosis and Management. Laryngoscope 100: 174–178.CrossRefGoogle ScholarPubMed
Liston, S. L. (1981) Fourth branchial fistula. Otolaryngology–Head and Neck Surgery, 89: 520–522.CrossRefGoogle ScholarPubMed
McCrae, R. G., Lee, K. J., Goertzen, E. (1983) First branchial cleft anomalies and the facial nerve. Otolaryngology–Head and Neck Surgery, 91: 197–202.CrossRefGoogle Scholar
Miller, P. D., Corcoran, M., Hobsley, M. (1984) Surgical excision of first cleft branchial fistulae. British Journal of Surgery, 71: 696–697.CrossRefGoogle ScholarPubMed
Narcy, P., Aumont-Grosskopf, C, Bobin, S., Manac'h, Y. (1988) Fistulae of the fourth endobranchial pouch. International Journal of Paediatric Otorhinolaryngology, 16: 157–165.CrossRefGoogle ScholarPubMed
Olsen, K. D., Maragos, N. E., Weiland, L. H. (1980) First branchial cleft anomalies. Laryngoscope, 90: 423–436.CrossRefGoogle ScholarPubMed
Randall, P., Royster, H. P. (1963) First branchial cleft anomalies. A not-so-rare and a potentially dangerous condition. Plastic and Reconstructive Surgery, 31: 497–506.CrossRefGoogle Scholar
Takimoto, T., Yoshizaki, T, Ohoka, H., Sakashita, H. (1990) Fourth branchial pouch anomaly. Journal of Laryngology and Otology, 104: 905–907.CrossRefGoogle ScholarPubMed
Tovi, F., Gatot, A., Bar-Ziv, J., Yanay, I. (1985) Recurrent suppurative thyroiditis due to fourth branchial pouch sinus. International Journal of Paediatric Otorhinolaryngology, 9: 89–96.CrossRefGoogle ScholarPubMed
Work, W. P. (1972) Newer concepts of first branchial cleft defects. Laryngoscope, 82: 1581–1593.CrossRefGoogle ScholarPubMed