A branchial cyst of the pyriform fossa transoral laser resection: a case report.

Autor: Abdelfattah HM; Otorhinolaryngology-Head and Neck Surgery Department, University of Alexandria, Alexandria, Egypt. hisham_fattah@yahoo.com., Ahmed ME; Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Sohag University, Nasr City, Eastern Avenue, University Street, Sohag, Egypt. dr.mohammedelrabie@gmail.com., Ahmed Mel-R; Phoniatrics, Department of Otorhinolaryngology-Head and Neck Surgery, Sohag University, Sohag, Egypt. daimahmoud@yahoo.com., Ahmed MA; Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Sohag University, Nasr City, Eastern Avenue, University Street, Sohag, Egypt. Mabdelkader1964@gmail.com., Moussa AE; Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Sohag University, Nasr City, Eastern Avenue, University Street, Sohag, Egypt. abdelmateen2004@yahoo.com.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2016 Feb; Vol. 273 (2), pp. 525-8. Date of Electronic Publication: 2015 Mar 05.
DOI: 10.1007/s00405-015-3586-9
Abstrakt: Pyriform sinus malformations represent rare third and fourth branchial anomalies. Fistulae at the latter site were initially described and make up less than 1 % of all brachial anomalies. They may be discovered incidentally, or may present as a neck mass with recurrent infection, dysphagia, or airway compromise, and can be an unusual cause of dysphonia in infant and children. Here, we present a case of third branchial cyst located in pharyngeal wall of the left pyriform sinus which presented with dysphonia since birth in a 6-year-old girl. Transoral CO2 laser excision was carried out successfully with no communicating tract. The patient's dysphonia showed progressive regression at 1-year follow-up. Third branchial cyst in the left pyriform sinus (Bailey's type IV) is an unusual cause of dysphonia in pediatric. Our present case report is the first brachial cyst to be reported in the pyriform fossa and the second branchial anomalies to be excised transorally with CO2 laser.
Databáze: MEDLINE