Clinical Study of Second Branchial Cleft Anomalies

被引：18
作者：
Lee, Doug Hoon [1 ,2 ]
Yoon, Tae Mi [1 ,2 ]
Lee, Joon Kyoo [1 ,2 ]
Lim, Sang Chul [1 ,2 ]
机构：
[1] Chonnam Natl Univ, Med Sch, Dept Otolaryngol Head & Neck Surg, 160 Ilsimri, Hwasun 519809, Jeonnam, South Korea
[2] Chonnam Natl Univ, Hwasun Hosp, Hwasun, South Korea
来源：
JOURNAL OF CRANIOFACIAL SURGERY | 2018年 / 29卷 / 06期
关键词：
Branchial cleft anomalies; cyst; fistula; second; surgical procedure; CYSTS;
D O I：
10.1097/SCS.0000000000004540
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Objective: The objective of this study was to review the clinical characteristics and surgical treatment outcomes of second branchial cleft anomalies, and to evaluate the usefulness and accuracy of preoperative fine-needle aspiration cytology (FNAC) in the diagnosis of branchial cleft cysts. Methods: A retrospective chart review was performed at Chonnam National University Hwasun Hospital from January 2010 to December 2016. Results: Among 25 patients with second branchial cleft anomalies, in 23 patients (92.0%), these anomalies presented as cysts, and in the remaining 2 patients (8.0%), these anomalies presented as fistulas. Fine-needle aspiration cytology had a diagnostic sensitivity of 100%, a positive-predictive value of 100%, and accuracy of 100% for diagnosing second branchial cleft cyst. All patients of second branchial cleft anomalies were treated surgically under general anesthesia. No recurrence of second branchial cleft anomalies was observed. Conclusion: Branchial cleft cysts were the most common type of second branchial cleft anomalies. Preoperative FNAC is a useful and accurate method for preoperative evaluation of branchial cleft cysts. Surgical excision of second branchial cleft anomalies is the treatment of choice without any complications and with no recurrence.
引用
收藏
页码：E557 / E560
页数：4
相关论文
共 10 条
[1]   Branchial cleft anomalies: a pictorial review of embryological development and spectrum of imaging findings [J].
Adams A. ;
Mankad K. ;
Offiah C. ;
Childs L. .
Insights into Imaging, 2016, 7 (1) :69-76
[2]   Diagnosis and treatment of branchial cleft cysts and fistulae. A retrospective study of 183 patients [J].
AgatonBonilla, FC ;
GayEscoda, C .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1996, 25 (06) :449-452
[3]   Branchial anomalies in children [J].
Bajaj, Y. ;
Ifeacho, S. ;
Tweedie, D. ;
Jephson, C. G. ;
Albert, D. M. ;
Cochrane, L. A. ;
Wyatt, M. E. ;
Jonas, N. ;
Hartley, B. E. J. .
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2011, 75 (08) :1020-1023
[4]  
Daoud Faiez S, 2005, Asian J Surg, V28, P174, DOI 10.1016/S1015-9584(09)60337-7
[5]   Current management of congenital branchial cleft cysts, sinuses, and fistulae [J].
Goff, Christopher J. ;
Allred, Carly ;
Glade, Robert S. .
CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, 2012, 20 (06) :533-539
[6]   Branchial cleft anomalies: accuracy of pre-operative diagnosis, clinical presentation and management [J].
Guldfred, L-A ;
Philipsen, B. B. ;
Siim, C. .
JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2012, 126 (06) :598-604
[7]   From the archives of the AFIP - Congenital cystic masses of the neck: Radiologic-pathologic correlation [J].
Koeller, KK ;
Alamo, L ;
Adair, CF ;
Smirniotopoulos, JG .
RADIOGRAPHICS, 1999, 19 (01) :121-146
[8]   Branchial Cleft Anomalies and Thymic Cysts [J].
Prosser, J. Drew ;
Myer, Charles M., III .
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA, 2015, 48 (01) :1-+
[9]   Branchial anomalies in the pediatric population [J].
Schroeder, James W., Jr. ;
Mohyuddin, Nadia ;
Maddalozzo, John .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2007, 137 (02) :289-295
[10]   Endoscope-Assisted Approach to Excision of Branchial Cleft Cysts [J].
Teng, Stephanie E. ;
Paul, Benjamin C. ;
Brumm, John D. ;
Fritz, Mark ;
Fang, Yixin ;
Myssiorek, David .
LARYNGOSCOPE, 2016, 126 (06) :1339-1342
1