Autor: |
A. Fanous, V. Couloigner, P. Gorphe, L. Galmiche, M. Alexandru, E-N Garabedian, L. Coffinet, T. Blanc, N. Leboulanger, F. Denoyelle |
Jazyk: |
angličtina |
Rok vydání: |
2020 |
Předmět: |
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Zdroj: |
Journal of Otolaryngology - Head and Neck Surgery, Vol 49, Iss 1, Pp 1-5 (2020) |
Druh dokumentu: |
article |
ISSN: |
1916-0216 |
DOI: |
10.1186/s40463-020-00426-5 |
Popis: |
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. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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