Unusual presentation of a first Branchial cleft cyst associated with an abnormal bony canal -a case report-
Abstract Background First branchial cleft anomalies are rare, accounting for only 10% of all branchial cleft anomalies. We report an even more rare and unique case of a branchial cleft cyst with features of both first and second arch derivatives. Case presentation A 6-year-old boy presented to us wi...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-05-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s40463-020-00426-5 |
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| author | A. Fanous V. Couloigner P. Gorphe L. Galmiche M. Alexandru E-N Garabedian L. Coffinet T. Blanc N. Leboulanger F. Denoyelle |
| author_facet | A. Fanous V. Couloigner P. Gorphe L. Galmiche M. Alexandru E-N Garabedian L. Coffinet T. Blanc N. Leboulanger F. Denoyelle |
| author_sort | A. Fanous |
| collection | DOAJ |
| description | Abstract Background First branchial cleft anomalies are rare, accounting for only 10% of all branchial cleft anomalies. We report an even more rare and unique case of a branchial cleft cyst with features of both first and second arch derivatives. Case presentation A 6-year-old boy presented to us with a left conductive hearing loss associated with pre-tympanic keratin debris and an ipsilateral painful cervical mass. He had a past medical history of left ear surgery for presumed cholesteatoma 2 years prior and left neck abscess drainage 6 months prior. CT and MRI revealed a lesion originating in the external auditory canal and extending cervically through a bony canal located medial to the facial nerve and terminating as a parapharyngeal cyst. The complete removal was accomplished in one surgical stage consisting of three distinct steps: robotic assisted transoral resection of the pharyngeal cyst, an endaural approach and a parotidectomy approach. Conclusion We believe that our detailed description of this rare first branchial cleft cyst with pharyngeal extension, possibly a hybrid case between a first and second branchial cyst, can serve as a valuable tool to Otolaryngologists – Head and Neck Surgeons who come across a similar unusual presentations. |
| format | Article |
| id | doaj-art-22871568bb364a949eb7a8f1b28608ee |
| institution | Kabale University |
| issn | 1916-0216 |
| language | English |
| publishDate | 2020-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-22871568bb364a949eb7a8f1b28608ee2025-08-20T03:54:48ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162020-05-014911510.1186/s40463-020-00426-5Unusual presentation of a first Branchial cleft cyst associated with an abnormal bony canal -a case report-A. Fanous0V. Couloigner1P. Gorphe2L. Galmiche3M. Alexandru4E-N Garabedian5L. Coffinet6T. Blanc7N. Leboulanger8F. Denoyelle9Department of Otolaryngology - Head and Neck Surgery, McGill UniversityDepartment of Pediatric Otolaryngology – Head and Neck Surgery, Hôpital Necker – Enfants Malades – Paris V UniversityDepartment of Otolaryngology – Head and Neck Surgery, Institut Gustave RoussyPathology Department, Hôpital Necker – Enfants Malades – Paris V UniversityDepartment of Pediatric Otolaryngology – Head and Neck Surgery, Hôpital Necker – Enfants Malades – Paris V UniversityDepartment of Pediatric Otolaryngology – Head and Neck Surgery, Hôpital Necker – Enfants Malades – Paris V UniversityDepartment of Otolaryngology – Head and Neck Surgery, Centre Hospitalier Régional et Universitaire de Nancy, Hôpital CentralDepartment of Pediatric Surgery, Hôpital Necker – Enfants Malades – Paris V UniversityDepartment of Pediatric Otolaryngology – Head and Neck Surgery, Hôpital Necker – Enfants Malades – Paris V UniversityDepartment of Pediatric Otolaryngology – Head and Neck Surgery, Hôpital Necker – Enfants Malades – Paris V UniversityAbstract Background First branchial cleft anomalies are rare, accounting for only 10% of all branchial cleft anomalies. We report an even more rare and unique case of a branchial cleft cyst with features of both first and second arch derivatives. Case presentation A 6-year-old boy presented to us with a left conductive hearing loss associated with pre-tympanic keratin debris and an ipsilateral painful cervical mass. He had a past medical history of left ear surgery for presumed cholesteatoma 2 years prior and left neck abscess drainage 6 months prior. CT and MRI revealed a lesion originating in the external auditory canal and extending cervically through a bony canal located medial to the facial nerve and terminating as a parapharyngeal cyst. The complete removal was accomplished in one surgical stage consisting of three distinct steps: robotic assisted transoral resection of the pharyngeal cyst, an endaural approach and a parotidectomy approach. Conclusion We believe that our detailed description of this rare first branchial cleft cyst with pharyngeal extension, possibly a hybrid case between a first and second branchial cyst, can serve as a valuable tool to Otolaryngologists – Head and Neck Surgeons who come across a similar unusual presentations.http://link.springer.com/article/10.1186/s40463-020-00426-5First branchialCholesteatomaRoboticCystParapharyngeal |
| spellingShingle | A. Fanous V. Couloigner P. Gorphe L. Galmiche M. Alexandru E-N Garabedian L. Coffinet T. Blanc N. Leboulanger F. Denoyelle Unusual presentation of a first Branchial cleft cyst associated with an abnormal bony canal -a case report- Journal of Otolaryngology - Head and Neck Surgery First branchial Cholesteatoma Robotic Cyst Parapharyngeal |
| title | Unusual presentation of a first Branchial cleft cyst associated with an abnormal bony canal -a case report- |
| title_full | Unusual presentation of a first Branchial cleft cyst associated with an abnormal bony canal -a case report- |
| title_fullStr | Unusual presentation of a first Branchial cleft cyst associated with an abnormal bony canal -a case report- |
| title_full_unstemmed | Unusual presentation of a first Branchial cleft cyst associated with an abnormal bony canal -a case report- |
| title_short | Unusual presentation of a first Branchial cleft cyst associated with an abnormal bony canal -a case report- |
| title_sort | unusual presentation of a first branchial cleft cyst associated with an abnormal bony canal a case report |
| topic | First branchial Cholesteatoma Robotic Cyst Parapharyngeal |
| url | http://link.springer.com/article/10.1186/s40463-020-00426-5 |
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