We report 101 patients with the clinical diagnosis of a branchial cyst investigated by ultrasonography. In 78 cases the diagnosis of a branchial cyst was confirmed by the ultrasound findings. The picture of a typical cyst was found in 26 cases, whereas a complex cyst filled with sludge or debris was found in 52 patients. Histology revealed a different diagnosis in 7 cases of ultrasonic complex cysts. Of 23 patients where a branchial cyst was excluded by ultrasound, histology showed a lesion other than a branchial cyst in 19 cases. In total, only 34.6% of the histologically confirmed branchial cysts displayed the typical signs of such a cyst on ultrasonography. However, in 91% of the patients with an actual branchial cyst we were able to confirm the diagnosis by ultrasound before operation. The differential diagnosis of other benign and malignant lesions of the neck resembling branchial cysts is discussed with examples.
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Cureus
November 2024
Otolaryngology - Head and Neck Surgery, Shri B.M. Patil Medical College, Hospital and Research Centre, Vijayapura, IND.
The most common congenital cervical masses are thyroglossal cysts followed by branchial cleft anomalies. However, their synchronous presentation is uncommon. A man in his early thirties visited our ear, nose, and throat (ENT) outpatient department (OPD) with complaints of a three-month history of right-side neck swelling.
View Article and Find Full Text PDFEur Ann Otorhinolaryngol Head Neck Dis
December 2024
Service ORL-CCF, CHU de Grenoble-Alpes (CHUGA), Grenoble, France; Secteur santé, université Grenoble-Alpes (UGA), Grenoble, France.
Research and knowledge in human embryology greatly progressed during the second half of the 19th century. This allowed optimization of surgical treatment of branchial deformities and cervical cysts in the light of their embryological development. In 1920, Walter Ellis Sistrunk described an embryologically-based technique for resection of thyroglossal duct fistulae and cysts.
View Article and Find Full Text PDFInt J Surg Case Rep
January 2025
Department of oncology, Royal medical services, Jordan.
Ann Otol Rhinol Laryngol
November 2024
Surgical Outcomes Center for Kids (SOCKs), Vanderbilt University Medical Center, Nashville, TN, USA.
Background: Branchial cleft cysts are pediatric congenital anomalies that can present as sinus tracts to the neck. Intraoperative methylene blue dye with fibrin glue has been suggested as an effective tool for tracking the tract's depth to help definitively excise. In this large retrospective study of 118 patients spanning a decade, we aim to elucidate outcomes of branchial cleft anomaly excision without methylene blue dye.
View Article and Find Full Text PDFCureus
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.
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