Endoscopic intervention in second branchial sinus in a 5-month old infant

Authors

  • Manish Munjal Department of Neurotology, Head Neck Skull Base Surgery Services, Fortis Hospital, Ludhiana, Punjab, India
  • Shubham Munjal Department of Neurotology, Head Neck Skull Base Surgery Services, Fortis Hospital, Ludhiana, Punjab, India
  • Jaspinder K. Dhillon Department of Neurotology, Head Neck Skull Base Surgery Services, Fortis Hospital, Ludhiana, Punjab, India
  • Vineeta Arora Department of Gynaecology and Obstetrics, GuruTeg Bahadur Hospital, Ludhiana, Punjab, India
  • Swati Singh Department of Physiology, Dayanand Medical College, Ludhiana, Punjab, India
  • Sandeep Singh Department of Anaesthesia and Critical Care Services, Fortis Hospital, Ludhiana, Punjab, India
  • Sukhraj Dhillon Department of Anaesthesia and Critical Care Services, Fortis Hospital, Ludhiana, Punjab, India
  • Navjot Kler Department of Neonatal and Paediatric Services, Fortis Hospital, Ludhiana, Punjab, India
  • Rohan Chauhan Department of Clinical Services, Fortis Hospital, Ludhiana, Punjab, India
  • Antarpreet Kaur Department of Clinical Services, Fortis Hospital, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20260075

Keywords:

Congenital branchial cleft anomalies, Second branchial arch sinus, Endoscopic intervention

Abstract

Second branchial sinus anomalies are rare congenital paediatric maladies that arise during intrauterine embryogenesis. A unique case of second branchial arch sinus in a 5-month-old infant, where a minimally invasive transcervical endoscopic intervention was undertaken, is being reported. The presentation was with recurrent discharge from a punctum at the lower lateral aspect of the neck. Global literature on second branchial arch anomalies is reviewed with clinical presentation, imaging, diagnosis, and therapeutic modalities of this rare entity.

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Author Biography

Manish Munjal, Department of Neurotology, Head Neck Skull Base Surgery Services, Fortis Hospital, Ludhiana, Punjab, India

Professor and Head, Deptt of ENTHNS

References

Cote DN, Gianoli GJ. Fourth branchial cleft cysts. Otolaryngol–Head Neck Surg. 1996;114(1):95-7. DOI: https://doi.org/10.1016/S0194-59989670290-5

Baertschiger RM, Sbragia L. Branchial Clefts and Arch Anomalies. InPearls and Tricks in Paediatric Surgery. Cham: Springer International Publishing; 2020: 305-312. DOI: https://doi.org/10.1007/978-3-030-51067-1_44

Agaton-Bonilla FC, Gay-Escoda C. Diagnosis and treatment of branchial cleft cysts and fistulae. A retrospective study of 183 patients. Int J Oral Maxillofacial Surg. 1996;25(6):449-52. DOI: https://doi.org/10.1016/S0901-5027(96)80081-6

Ryu J, Igawa T, Mohole J, Coward M. Congenital neck masses. Neoreviews. 2023;24(10):e642-9. DOI: https://doi.org/10.1542/neo.24-10-e642

Leung AK. Branchial cleft cyst. Encyclopaedia of Molecular Mechanisms of Disease. Springer, Berlin, Heidelberg; 2009: 244-245.

Bajaj Y, Ifeacho S, Tweedie D, Jephson CG, Albert DM, Cochrane LA, Wyatt ME, Jonas N, Hartley BE. Branchial anomalies in children. Int J Paediatr Otorhinolaryngol. 2011;75(8):1020-3. DOI: https://doi.org/10.1016/j.ijporl.2011.05.008

Muller S, Aiken A, Magliocca K, Chen AY. Second branchial cleft cyst. Head Neck Pathol. 2015;9(3):379-83. DOI: https://doi.org/10.1007/s12105-014-0592-y

Shen LF, Zhou SH, Chen QQ, Yu Q. Second branchial cleft anomalies in children: a literature review. Paediatr Surg Int. 2018;34(12):1251-6. DOI: https://doi.org/10.1007/s00383-018-4348-8

Lee DH, Yoon TM, Lee JK, Lim SC. Clinical study of second branchial cleft anomalies. J Craniofacial Surg. 2018;29(6):e557-60. DOI: https://doi.org/10.1097/SCS.0000000000004540

Pereira KD, Losh GG, Oliver D, Poole MD. Management of anomalies of the third and fourth branchial pouches. Int J Paediatr Otorhinolaryngol. 2004;68(1):43-50.

Chaudhary N, Gupta A, Motwani G, Kumar S. Fistula of the fourth branchial pouch. Am J Otolaryngol. 2003;24(4):250-2. DOI: https://doi.org/10.1016/S0196-0709(03)00026-7

Chen LS, Sun W, Wu PN, Zhang SY, Xu MM, Luo XN, Zhan JD, Huang X. Endoscope-assisted versus conventional second branchial cleft cyst resection. Surg Endoscopy. 2012;26(5):1397-402. DOI: https://doi.org/10.1007/s00464-011-2046-x

Chen L, Huang X, Lou X, Xhang S, Song X, Lu Z, Xu M. A comparison between endoscopic-assisted second branchial cleft cyst resection via retro auricular hairline approach and conventional second branchial cleft cyst resection. Clin Otorhinolaryngol Head Neck Surg. 2013;27(22):1258-62.

Pereira KD, Losh GG, Oliver D, Poole MD. Management of anomalies of the third and fourth branchial pouches. Int J Paediatr Otorhinolaryngol. 2004;68(1):43-50. DOI: https://doi.org/10.1016/j.ijporl.2003.09.004

Schmidt K, Leal A, McGill T, Jacob R. Rapidly enlarging neck mass in a neonate causing airway compromise. Proc (Bayl Univ Med Cent). 2016;29(2):183-4. DOI: https://doi.org/10.1080/08998280.2016.11929409

Mattioni J, Azari S, Hoover T, Weaver D, Chennupati SK. A cross-sectional evaluation of outcomes of paediatric branchial cleft cyst excision. Int J Pediatr Otorhinolaryngol. 2019;119:171-6. DOI: https://doi.org/10.1016/j.ijporl.2019.01.030

Prosser JD, Myer 3rd CM. Branchial cleft anomalies and thymic cysts. Otolaryngologic Clin N Am. 2015;48(1):1-4. DOI: https://doi.org/10.1016/j.otc.2014.09.002

Ha EJ, Baek SM, Baek JH, Shin SY, Han M, Kim CH. Efficacy and safety of ethanol ablation for branchial cleft cysts. Am J Neuroradiol. 2017;38(12):2351-6. DOI: https://doi.org/10.3174/ajnr.A5373

Kim MG, Kim SG, Lee JH, Eun YG, Yeo SG. The therapeutic effect of OK‐432 (picibanil) sclerotherapy for benign neck cysts. Laryngoscope. 2008;118(12):2177-81. DOI: https://doi.org/10.1097/MLG.0b013e3181864acf

Kim JH. Ultrasound-guided sclerotherapy for benign non-thyroid cystic mass in the neck. Ultrasonography. 2014;33(2):83-90. DOI: https://doi.org/10.14366/usg.13026

Talmor G, Nguyen B, Mir G, Badash I, Kaye R, Caloway C. Sclerotherapy for benign cystic lesions of the head and neck: systematic review of 474 cases. Otolaryngol–Head Neck Surg. 2021;165(6):775-83. DOI: https://doi.org/10.1177/01945998211000448

Hohman MH, Bhama PK, Hadlock TA. Epidemiology of iatrogenic facial nerve injury: a decade of experience. Laryngoscope. 2014;124(1):260-5. DOI: https://doi.org/10.1002/lary.24117

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Published

2026-01-23

How to Cite

Munjal, M., Munjal, S., Dhillon, J. K., Arora, V., Singh, S., Singh, S., Dhillon, S., Kler, N., Chauhan, R., & Kaur, A. (2026). Endoscopic intervention in second branchial sinus in a 5-month old infant. International Journal of Otorhinolaryngology and Head and Neck Surgery, 12(1), 109–113. https://doi.org/10.18203/issn.2454-5929.ijohns20260075