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Your search keyword '"*BRANCHIAL cleft fistula"' showing total 156 results
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156 results on '"*BRANCHIAL cleft fistula"'

151. Adult presentation of a fourth branchial pouch sinus.

Author

Robitschek, Jon, Bothwell, Nici, Takahashi, Guy, Hall, Daniel, and Sniezek, Joseph

Subjects
*HUMAN abnormalities, *BRANCHIAL cleft fistula, *PARANASAL sinuses, *NECK abscesses, *CYSTS (Pathology), *THYROID gland tumors, *TOMOGRAPHY, *DIFFERENTIAL diagnosis
Abstract

A fourth branchial pouch sinus is a rare clinical entity. The handful of previously reported cases have all involved children. We report a rare case of an intrathyroidal fourth branchial pouch sinus in an adult. A 36-year-old man presented with a recurrent left-sided deep neck abscess. A diagnostic evaluation by barium pharyngoesophagography in conjunction with computed tomography revealed the presence of a sinus tract that extended inferiorly from the left piriform sinus to the left thyroid lobe. The synchronous use of both of these imaging modalities with shared contrast enabled us both to establish the diagnosis and formulate a successful surgical approach. The patient underwent elective neck exploration with resection of the left thyroid lobe and superior sinus tract. Postoperative pathology confirmed the presence of an epithelium-lined sinus within the left lobe of the thyroid consistent with a branchial pouch derivative. Follow-up barium pharyngoesophagography demonstrated successful closure of the sinus tract. This unique case represents a delayed clinical presentation, and it broadens the differential diagnosis of recurrent deep neck abscess and thyroid cyst in the adult. [ABSTRACT FROM AUTHOR]

Published
2009

152. Branchial cleft cyst.

Author

Thompson, Lester D. R.

Subjects
*CYSTS (Pathology), *BRANCHIAL cleft fistula, *TUMORS, *ONCOLOGY, *PRECANCEROUS conditions
Abstract

Discusses the pathology of a branchial cleft cyst. Definition of the tumor; Risk associated with the infection and inflammation of the cyst; Composition of the lesion; Efficiency of surgical excision in treating the tumor.

Published
2004
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153. Diagnosis Radiology Quiz Case 2.

Subjects
BRANCHIAL cleft fistula, CYSTS (Pathology)
Abstract

Presents information for diagnosing second branchial cleft cysts and fistulas. Description of the second branchial cleft fistula; Symptoms of fistulas of branchial cleft origin; How to confirm the clinical diagnosis of second branchial cleft cysts and fistulas.

Published
2001

154. A Type-II First Branchial Cleft Anomaly Presenting as a Post-Auricular Salivary Fistula: A Rare Presentation.

Author

Jain S, Deshmukh P, Gupta M, and Shukla S

Abstract

First branchial cleft anomalies are rare with the average age of presentation as 19 years. There is an average delay of 3.5 years between initial presentation and adequate treatment due to diagnostic dilemma. A very rare variant of first branchial cleft anomaly presenting as a post-auricular salivary fistula is reported. A 12-year-old girl presented with a history of intermittent watery discharge, more so at the time of meals from a right post-auricular opening for last 3 years. Computed tomography sialography revealed a fistulous tract connecting the sub segmental duct of the parotid gland extending along the pre-tragus region in subcutaneous plane up to mastoid tip after passing inferior to external auditory canal. Superficial parotidectomy with identification of facial nerve branches was carried out for excision of the tract. Histopathology revealed sinus tract comprising of ectodermal components and acini of the parotid gland. We classified our case into work's type-2 based on anatomical location at an angle of mandible, its relationship to parotid gland and facial nerve and previous history of ear discharge. To the best of our knowledge, this is the first case of its type to be reported.

Published
2014
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155. FISTULA AURIS CONGENITA.

Author

R. B.

Subjects
ULCERS, CYSTS (Pathology), ABSCESSES, BRANCHIAL cleft fistula, AORTIC diseases, SUPPURATION
Abstract

The article discusses the paper "Fistula Auris Congentia," by G.F. Donald. The paper states that the condition of fistula auris congentia occurs as a pit or sinus arising from the region of the first branchial cleft and appearing on or in front of the crus helicis, sometimes in adjacent areas. It may appear as a pinhead-sized pit, or as a sinus up to 15 mm. in length. It often discharges a white milky material, and may become infected or form a cyst or abscess.

Published
1954

156. A fatal case of severe neck abscess due to a third branchial cleft fistula: morphologic and immunohistochemical analyses

Author

Mohammed Mahmoodurrahman, Lin Zhang, Fang Tong, Muhammad Fasahat Khan, Wenhe Li, Yue Liang, and Yiwu Zhou

Subjects
Male, medicine.medical_specialty, Pathology, animal structures, Time Factors, Histology, Fistula, Cutaneous Fistula, Case Report, Unexpected death, Thyroiditis, Pathology and Forensic Medicine, Craniofacial Abnormalities, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Fatal Outcome, Neck abscess, Recurrence, Pharyngeal groove, Medicine, Humans, 030223 otorhinolaryngology, Third branchial cleft, Ultrasonography, Third branchial cleft fistula, business.industry, General Medicine, Anatomy, Pharyngeal Diseases, Thyroiditis, Suppurative, medicine.disease, Immunohistochemistry, Shock, Septic, Abscess, body regions, Branchial Region, Treatment Outcome, Otorhinolaryngology, embryonic structures, Disease Progression, Branchial cleft anomaly, Drainage, Autopsy, business, Tomography, X-Ray Computed, 030217 neurology & neurosurgery
Abstract

Background Branchial cleft anomalies constitute a frequently encountered and commonly non-lethal disease in otolaryngology, and result from aberrant embryonic development. The third branchial cleft fistula is one of the four known specific types of branchial cleft anomalies, and always presents as recurrent neck abscess and suppurative thyroiditis. Here, we report an unexpected death due to severe neck infection following a third branchial cleft fistula. Case presentation A 19-year-old man was sent to the hospital with a 1-week history of recurrent left-sided neck abscess, and was scheduled for incision and drainage of the abscess. However, before the surgery was performed, the man’s condition deteriorated and he died. A review of his medical history showed that he had undergone a previous incision and drainage for a neck abscess 2 years ago. Postmortem examination revealed that the fatal neck abscess was induced by a third branchial cleft fistula. Conclusions We conclude that a histopathological examination of neck tissue combined with a detailed review of medical history and examination of ultrasonographic and CT images can provide a rapid and accurate diagnosis of third branchial cleft fistula. This common, non-lethal disease can potentially lead to death if the neck infection is not properly diagnosed and treated. In medico-legal practice, medical examiners should be aware of this condition, as this knowledge would be important in the diagnosis of the cause of death.

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