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Branchial cleft and pouch anomalies

Published online by Cambridge University Press:  29 June 2007

G. R. Ford ,
A. Balakrishnan ,
J. N. G. Evans  and
C. M. Bailey
G. R. Ford*
Affiliation:
London
A. Balakrishnan
Affiliation:
London
J. N. G. Evans
Affiliation:
London
C. M. Bailey
Affiliation:
London
*
Mr G.R. Ford, F.R.C.S., ENT Department, Cambridge Military Hospital, Aldershot, Hants GUI 12AN
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Abstract

We present a retrospective study of 106 patients with branchial cleft and pouch anomalies who presented to the Hospital for Sick Children between 1948 and 1990. The relevant embryology of the branchial apparatus is summarized and a theoretical description of individual anomalies given.

Second branchial cleft sinuses were the most common anomalies, and the majority were managed simply, with adequate excision and a low recurrence rate. Five cases of first branchial cleft anomalies are presented, emphasizing the delay in diagnosis, the need for complete excision to prevent recurrence, and for a parotidectomy incision to protect the facial nerve from damage. The two third branchial pouch anomalies presented with a cystic neck swelling, one with recurrent infection and discharge, and the other with stridor. In both, the diagnosis was made at operation. The single fourth branchial pouch cyst was an unexpected finding in a patient with stridor.

Keywords

BranchiomaBranchial regionFistulaSinus
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 2 , February 1992 , pp. 137 - 143
Copyright
Copyright © JLO (1984) Limited 1992

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