Congenital fourth branchial arch anomalies are uncommon entities. Most of these anomalies are diagnosed in childhood. The majority of cases occur on the left side. The clinical presentation of these anomalies varies with age. A respiratory distress is the usual clinical presentation in neonates, cervical cutaneous fistulas in late childhood or acute suppurative thyroiditis. Multiples diagnostic options have been described with different modalities of treatment. The majority of cases of fourth branchial arch anomalies are described only in case reports. We report a clinical case of recurrent cervical abscess in a young woman due to a residual fistula of fourth branchial arch.
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http://dx.doi.org/10.1155/2014/931279 | DOI Listing |
Int J Pediatr Otorhinolaryngol
December 2024
Department of Clinical and Experimental Medicine, Section of Pediatrics and Child Neuropsychiatry, Hospital "Policlinico G. Rodolico", Catania, Italy. Electronic address:
Acute suppurative thyroiditis (AST), a rare yet potentially life-threatening infection, comprises less than 1 % of neck pathologies and requires prompt treatment. Symptoms range from neck pain and fever to dysphagia and possible abscess formation. Broad-spectrum antibiotics are the primary treatment; however, surgical drainage may be necessary for abscesses to prevent systemic infection.
View Article and Find Full Text PDFCell Rep
December 2024
Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal; GIMM-Gulbenkian Institute for Molecular Medicine, 1649-028 Lisboa, Portugal. Electronic address:
Cureus
November 2024
Emergency Department, Salisbury NHS District Hospital, Salisbury, GBR.
This report presents a case of a six-year-old male patient with recurrent left-sided neck abscesses who presented four times over a span of two years. At each presentation, the child had developed left-sided neck swelling, pain, and fevers that required hospital admission. In the patient's most recent admission in 2020, a fourth branchial cleft anomaly was confirmed on CT, and the patient was taken to the operation theatre for ultrasound-guided aspiration and cauterisation of the sinus fistula tract under direct pharyngoscopy.
View Article and Find Full Text PDFCureus
October 2024
Pediatric Surgery, Palestine Polytechnic University, Hebron, PSE.
Anomalies of the fourth branchial cleft are exceedingly uncommon, presenting with a diverse array of clinical manifestations. The majority of branchial cleft anomalies, approximately 95%, are of the second type, with a mere 2% attributed to the fourth type. The latter is notably more prevalent on the left side, with reports indicating an 85% incidence.
View Article and Find Full Text PDFPan Afr Med J
November 2024
Department of Imaging, Venizelion General Hospital, Heraklion, Crete, Greece.
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