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An unusual otoscopic finding associated with a type II first branchial cleft anomaly

Published online by Cambridge University Press:  13 December 2011

A J Ebelhar  and
K Potts
A J Ebelhar
Affiliation:
Division of Otolaryngology, Department of Surgery, University of Louisville School of Medicine, Kentucky, USA
K Potts*
Affiliation:
Division of Otolaryngology, Department of Surgery, University of Louisville School of Medicine, Kentucky, USA
*
Address for correspondence: Dr. Kevin Potts, Division of Otolaryngology, 529 South Jackson Street, Louisville, KY 40202, USA E-mail: K.Potts@louisville.edu
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Abstract

Objective:

We report an interesting case involving a child with a branchial cleft anomaly with two fistulous tracts, one of which was associated with an unusual otoscopic finding.

Case report:

A seven-year-old girl presented with an apparent type II first branchial cleft cyst after an acute infection. Parotidectomy and excision of the tract were performed, with subsequent development of pre-auricular swelling three months later. Further surgery was performed to remove a second duplication anomaly of the external auditory canal. Otomicroscopy showed a fibrous band arising from the wall of the canal and attached to the tympanic membrane at the umbo.

Conclusion:

Otoscopic findings on physical examination can be important diagnostic clues in the early recognition of branchial cleft anomalies. The classification system proposed by Work may fail to describe some branchial cleft lesions.

Keywords

BranchiomaOtoscopy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 3 , March 2012 , pp. 316 - 318
Copyright
Copyright © JLO (1984) Limited 2011

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References

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