A 22-year-old male presented with a gradually progressive right neck swelling, associated with right oropharyngeal lateral wall bulge. MRI showed a well-defined 10.8 cm cyst in the right parapharyngeal space indicating a type-IV branchial cyst, one of the largest documented in literature. Surgical excision was performed. Histopathology ruled out malignancy. Follow up for 18-months uneventful.
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http://dx.doi.org/10.1007/s12070-024-05248-9 | DOI Listing |
Indian J Otolaryngol Head Neck Surg
February 2025
Dr. B. R. Ambedkar Medical College and Hospital, Karnataka 560045 Kadugondanahalli, Bangalore, India.
A 22-year-old male presented with a gradually progressive right neck swelling, associated with right oropharyngeal lateral wall bulge. MRI showed a well-defined 10.8 cm cyst in the right parapharyngeal space indicating a type-IV branchial cyst, one of the largest documented in literature.
View Article and Find Full Text PDFEar Nose Throat J
April 2024
Department of Otolaryngology, Head and Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, P.R. China.
To provide the experience of diagnosis and treatment of second branchial cleft fistula in children. The clinical data of 76 children with second branchial cleft fistulas admitted to Beijing Children's Hospital affiliated with Capital Medical University from January 2016 to December 2020 were retrospectively analyzed. All patients underwent cervical ultrasonography and resection of the second branchial cleft fistula, and their clinical manifestations, surgical methods, complications, recurrence condition, and lesion appearance of the patients were analyzed.
View Article and Find Full Text PDFCureus
June 2023
Otorhinolaryngology & Head and Neck Surgery, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.
Background Branchial-cleft anomalies are second only to thyroglossal duct anomalies among congenital malformations of the neck, and second branchial-cleft anomalies are the most common. These include branchial cysts, branchial sinuses, and branchial fistulas. Clinical symptoms include neck swelling and a discharging sinus or fistula opening.
View Article and Find Full Text PDFInt J Surg Case Rep
July 2023
Al-kindy Teaching Hospital, Baghdad, Iraq. Electronic address:
Introduction & Importance: Branchial fistulas and cysts are uncommon anomalies of embryonic development that involve soft tissues of the neck. According to Bailey-Proctor classification, second BCCs are classified into four types: Type-I cysts are situated along the anterior border of the sternocleidomastoid muscle beneath the superficial cervical fascia. Type-II ones are the most common and lie just laterally to great vessels beneath enveloping fascia of the neck.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
December 2022
Department of ENT Head and Neck Surgery, Holy Family Hospital, Rawalpindi, Pakistan.
Second branchial cleft cysts are a cystic dilatation of the remnant of the second branchial cleft that account for 95-percent of all branchial cleft malformations, along with second branchial fistulae and sinuses. Among them, the type-IV second branchial cyst is present against the pharyngeal wall in the parapharyngeal space and is rarest of all. Herein we report a rare presentation of type-IV second branchial cyst where MRI played a critical role for accurate preoperative diagnosis.
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