DOI: http://dx.doi.org/10.18203/2349-2902.isj20214030

Type I second branchial cleft cyst in an adult patient

Ramesh M. Tambat, Nitish A. Golasangi, Siddesh G. B., Suhas P., Yogendra Shrestha, Jeet B. Moktan

Abstract


Branchial cleft anomalies are rare diseases of head and neck region. Second branchial cleft anomalies represent more than 95% of all branchial cleft anomalies. Second branchial cleft cyst is a benign developmental cyst due to the incomplete obliteration of pharyngeal cleft. A 46-year-old female patient reported to hospital with a complaint of swelling over the left side of the neck since 4 to 5 months. On clinical examination, swelling was seen below and behind the angle of mandible on the left side. The patient was evaluated using ultrasound and contrast enhanced computerized tomography (CECT) of neck which revealed second left bronchial cleft cyst/enlarged cystic lymph-node. Fine needle aspiration cytology of the swelling showed features of cystic lesion. Type-I branchial cleft cyst is a rare condition with a significant risk of misdiagnosis. To avert misdiagnosis and surgical complications, thorough investigation must be performed prior to surgical intervention.


Keywords


Branchial cleft, Cyst, Type-I branchial cleft cyst

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References


Mitroi M, Dumitrescu D, Simionescu C, Popescu C, Mogoantă CA, Cioroianu L, Surlin C, Căpitănescu A, Georgescu M. Management of second branchial cleft anomalies. Rom J Morphol Embryol. 2008;49(1):69-74.

Coste AH, Lofgren DH, Shermetaro C. Branchial cleft cyst. StatPearls Publishing, Treasure Island (FL). 2020.

Muller S, Aiken A, Magliocca K, Chen AY. Second branchial cleft cyst. Head and neck pathology. 2015;9(3):379-83.

Acierno SP, Waldhausen JH. Congenital cervical cysts, sinuses and fistulae. Otolaryngol Clin North Am. 2007;40(1):161-76.

Guldfred LA, Philipsen BB, Siim C. Branchial cleft anomalies: accuracy of pre-operative diagnosis, clinical presentation and management. J Laryngol Otol. 2012;126(6):598-604.

Magdy EA, Fadali GA, Seif-Elnasr M, Fathalla MF. Unusual Isolated Parapharyngeal Second Branchial Cleft Cyst: A Case Report and Literature Review. Case Rep Otolaryngol. 2020;8814071.

Arndal H, Bonding P. First branchial cleft anomaly. Clin Otolaryngol Allied Sci. 1996;21(3):203-7.

Glosser JW, Pires CA, Feinberg SE. Branchial cleft or cervical lymphoepithelial cysts: etiology and management. J Am Dent Assoc. 2003;134(1):81-6.

Muller S, Aiken A, Magliocca K, Chen AY. Second branchial cleft cyst. Head Neck Pathol. 2015;9(3):379-83.

Lee DH, Yoon TM, Lee JK, Lim SC. Clinical study of second branchial cleft anomalies. J Craniofacial Surg. 2018;29(6):557-60.

Bansal AG, Oudsema R, Masseaux JA, Rosenberg HK. US of pediatric superficial masses of the head and neck. Radiographics. 2018;38(4):1239-63.

Friedman E, Patiño MO, Udayasankar UK. Imaging of pediatric salivary glands. Neuroimag Clin. 2018;28(2):209-26.

Brown RE, Harave S. Diagnostic imaging of benign and malignant neck masses in children—a pictorial review. Quantitative Imag Med Surg. 2016;6(5):591.

Shen LF, Zhou SH, Chen QQ, Yu Q. Second branchial cleft anomalies in children: a literature review. Pediatr Surg Int. 2018;34(12):1251-6.

Patel S, Bhatt AA. Thyroglossal duct pathology and mimics. Insights Imag. 2019;10(1):12.

D'Souza AR, Uppal HS, De R, Zeitoun H. Updating concepts of first branchial cleft defects: a literature review. Int J Pediatr Otorhinolaryngol. 2002;62(2):103-9.