Surgical Approaches to First Branchial Cleft Anomaly Excision: A Case Series
Joint Authors
Quintanilla-Dieck, Lourdes
Virgin, Frank
Wootten, Chistopher
Penn , Edward
Goudy, Steven
Source
Case Reports in Otolaryngology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-29
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objectives.
First branchial cleft anomalies (BCAs) constitute a rare entity with variable clinical presentations and anatomic findings.
Given the high rate of recurrence with incomplete excision, identification of the entire tract during surgical treatment is of paramount importance.
The objectives of this paper were to present five anatomic variations of first BCAs and describe the presentation, evaluation, and surgical approach to each one.
Methods.
A retrospective case review and literature review were performed.
We describe patient characteristics, presentation, evaluation, and surgical approach of five patients with first BCAs.
Results.
Age at definitive surgical treatment ranged from 8 months to 7 years.
Various clinical presentations were encountered, some of which were atypical for first BCAs.
All had preoperative imaging demonstrating the tract.
Four surgical approaches required a superficial parotidectomy with identification of the facial nerve, one of which revealed an aberrant facial nerve.
In one case the tract was found to travel into the angle of the mandible, terminating as a mandibular cyst.
This required en bloc excision that included the lateral cortex of the mandible.
Conclusions.
First BCAs have variable presentations.
Complete surgical excision can be challenging.
Therefore, careful preoperative planning and the recognition of atypical variants during surgery are essential.
American Psychological Association (APA)
Quintanilla-Dieck, Lourdes& Virgin, Frank& Wootten, Chistopher & Goudy, Steven& Penn , Edward. 2016. Surgical Approaches to First Branchial Cleft Anomaly Excision: A Case Series. Case Reports in Otolaryngology،Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1102283
Modern Language Association (MLA)
Quintanilla-Dieck, Lourdes…[et al.]. Surgical Approaches to First Branchial Cleft Anomaly Excision: A Case Series. Case Reports in Otolaryngology No. 2016 (2016), pp.1-8.
https://search.emarefa.net/detail/BIM-1102283
American Medical Association (AMA)
Quintanilla-Dieck, Lourdes& Virgin, Frank& Wootten, Chistopher & Goudy, Steven& Penn , Edward. Surgical Approaches to First Branchial Cleft Anomaly Excision: A Case Series. Case Reports in Otolaryngology. 2016. Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1102283
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1102283