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Combined approach branchial sinusectomy: a new technique for excision of second branchial cleft sinus

Published online by Cambridge University Press:  31 July 2009

A D Olusesi
A D Olusesi*
Affiliation:
Department of Ear, Nose and Throat, National Hospital, Abuja, Nigeria
*
Address for correspondence: Dr Abiodun D Olusesi, Department of Ear, Nose and Throat, National Hospital, Plot 132, Central Area, Garki (Phase 2), Abuja, FCT, Nigeria. E-mail: [email protected]
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Abstract

Objective:

Branchial cleft anomalies are well described, with the second arch anomaly being the commonest. Following surgical excision, recurrence occurs in 2 to 22 per cent of cases, and is believed to be due largely to incomplete resection. This report aims to describe a simple surgical technique for treatment of second branchial cleft sinus in the older paediatric age group and adults.

Methodology:

An 11-year-old girl underwent surgical excision of a second branchial sinus. Prior to surgery, she was assessed by means of an imaging sonogram, and by direct methylene blue dye injection into the sinus on the operating table, followed by insertion of a metallic probe. Dissection was of the ‘step ladder’ incision type, but the incision was completed via an oropharyngeal approach. Histological examination of the lesion after excision established the diagnosis. No recurrence had been observed at the time of writing.

Conclusions:

Although they are congenital lesions, second branchial cleft abnormalities usually present in the older paediatric age group or even in adulthood. In the case reported, a simple combined approach ensured completeness of resection.

Keywords

Branchial SinusFistulaNeckOtorhinolaryngologic Surgical Procedures
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 10 , October 2009 , pp. 1166 - 1168
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Blackham, R, Lannigan, E. Second branchial cleft sinus presenting after adenotonsillectomy. Int J Pediatr Otorhinolaryngol 2005;69:101–3CrossRefGoogle ScholarPubMed
2Barret, JP. Recurrent branchial sinus tract with aberrant extensions. Acta Chir Plast 2004;46:74–5Google Scholar
3Mitroi, M, Dumitrescu, D, Simionescu, C, Popescu, C, Mogoantă, C, Cioroianu, L et al. Management of second branchial sinus cleft anomalies. Rom J Morphol Embryol 2008;49:69–74Google ScholarPubMed
4Karabulut, R, Sönmez, K, Türkyilmaz, Z, Ozen, IO, Demiroğullari, B, Güçlü, MM et al. Second branchial anomalies in children. ORL J Otorhinolaryngol Relat Spec 2005;67:160–2CrossRefGoogle ScholarPubMed
5Halvorson, DJ, Porubsky, ES. Branchial cleft cyst posterior to the carotid vessels. Ear Nose Throat J 1995;74:74–6CrossRefGoogle Scholar
6Robson, CD, Kim, FM, Barnes, PD. Head and Neck – Specific Abnormalities (Congental and Developmental Abnormalities). In Kirks, DR, Griscom, NT. Practical Pediatric Imaging: Diagnostic Radiology of Infants and Children. Philadephia: Lippincott Williams & Wilkins, 1998;239–241Google Scholar
7Abhisek, J, Avik, KJ, Biswajit, S, Utpal, J, Tapan, KN. Simultaneous complete branchial and thyroglossal fistula – a rare presentation. Indian J Otolaryngol Head Neck Surg 2008;60:94–6Google Scholar
8Calvo, BE, Sancipriano, HJA, Diego, C, Santiago, J, Rincón, ELM, Hermosa, FP et al. Cervical cysts of second branchial arch: retrospective study of 14 cases [in Spanish]. An Otorrinolaringol Ibero Am 2001;28:389–99Google Scholar
9De, PR, Mikhail, T. A combined approach excision of branchial fistula. J Laryngol Otol 1995;109:999–1000CrossRefGoogle ScholarPubMed