Second branchial cleft cyst in adolescent: a case report
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20254077Keywords:
Branchial cleft cyst, Adolescents, ExcisionAbstract
Branchial cleft cysts are congenital lateral neck masses which manifest in the adolescents or in adulthood. They arise from the remnants of the branchial apparatus of embryonic life. Cystic remnants present commonly in the adolescence. Second branchial cleft cysts are the most common form of the branchial anomalies and originate from the remnants of the cervical sinus of His and its duct during the differentiation of branchial apparatus. Purpose of the study was to report a case of second branchial cleft cyst in adolescent. Patient was presented with second branchial cleft cyst at the age of 20 years. Computed tomography of neck showed well-circumscribed cystic lesion with an internal solid component in the peri vertebral space extending to the left submandibular space at the level of lower cervical region, attached to left sternocleidomastoid muscle causing minimal displacement of left internal and external carotid arteries medially and left internal jugular vein laterally, suggesting branchial cleft cyst. Complete surgical excision of the cyst had been done. The histopathologic study revealed a squamous epithelium-lined cyst with lymphoid infiltration, consistent with branchial cleft cyst. The patient was discharged without any complications. Clinical manifestations combined with knowledge of the embryology and spatial anatomy of the head and neck provide clues for a correct diagnosis and appropriate management of branchial cleft cyst.
Metrics
References
Ajao AE, Adeoye IA. Prevalence, risk factors and outcome of congenital anomalies among neonatal admissions in OGBOMOSO, Nigeria. BMC Pediatr. 2019;19(1):88. DOI: https://doi.org/10.1186/s12887-019-1471-1
Chimah OU, Emeagui KN, Ajaegbu OC, Anazor C V., Ossai CA, Fagbemi AJ, et al. Congenital malformations: Prevalence and characteristics of newborns admitted into Federal Medical Center, Asaba. Health Sci Rep. 2022;5(3):e599. DOI: https://doi.org/10.1002/hsr2.599
Sarkar S, Patra C, Dasgupta MK, Nayek K, Karmakar PR. Prevalence of Congenital Anomalies in Neonates and Associated Risk Factors in a Tertiary Care Hospital in Eastern India. J Clin Neonatol. 2013;2(3):131. DOI: https://doi.org/10.4103/2249-4847.119998
Lean SC, Derricott H, Jones RL, Heazell AEP. Advanced maternal age and adverse pregnancy outcomes: A systematic review and meta-analysis. PLoS One. 2017;12(10):e0186287. DOI: https://doi.org/10.1371/journal.pone.0186287
Ekwunife O, Okoli C, Ugwu J, Modekwe V, Ekwesianya A. Congenital anomalies: Prospective study of pattern and associated risk factors in infants presenting to a tertiary hospital in Anambra State, South-east Nigeria. Niger J Paediatr. 2017;44(2):76-80. DOI: https://doi.org/10.4314/njp.v44i2.6
Adams A, Mankad K, Offiah C, Childs L. Branchial cleft anomalies: a pictorial review of embryological development and spectrum of imaging findings. Insights Imaging. 2016;7(1):69-76. DOI: https://doi.org/10.1007/s13244-015-0454-5
Chavan S, Deshmukh R, Karande P, Ingale Y. Branchial cleft cyst: A case report and review of literature. J Oral Maxillofac Pathol. 2014;18(1):150. DOI: https://doi.org/10.4103/0973-029X.131950
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;2020:1-7. DOI: https://doi.org/10.1155/2020/8814071
Hamadi IS, Lutfi L, Mohammed AA, Alkhadem Z. Branchial Cyst in the Parapharyngeal Space: A Case Report. Dubai Med J. 2021;4(2):171-4. DOI: https://doi.org/10.1159/000514893
Long KL, Spears C, Kenady DE. Branchial cleft cyst encircling the hypoglossal nerve. J Surg Case Rep. 2013;2013(9):rjt068. DOI: https://doi.org/10.1093/jscr/rjt068
Meng F, Zhu Z, Ord RA, Zhang T. A unique location of branchial cleft cyst: case report and review of the literature. Int J Oral Maxillofac Surg. 2019;48(6):712-5. DOI: https://doi.org/10.1016/j.ijom.2018.11.014
Bahakim A, Francois M, Abbeele T Van Den. Congenital Midline Cervical Cleft and W-Plasty: Our Experience. Int J Otolaryngol. 2018;2018:1-5. DOI: https://doi.org/10.1155/2018/5081540
Prosser JD, Myer IM. Branchial cleft anomalies and thymic cysts. Otolaryngol Clin North Am. 2015;48(1):1-14. DOI: https://doi.org/10.1016/j.otc.2014.09.002
Koch EM, Fazel A, Hoffmann M. Cystic masses of the lateral neck - Proposition of an algorithm for increased treatment efficiency. J Craniomaxillofac Surg. 2018;46(9):1664-8. DOI: https://doi.org/10.1016/j.jcms.2018.06.004
Tazegul G, Bozoǧlan H, Doǧan Ö, Sari R, Altunbaş H, Balci M. Cystic lateral neck mass: Thyroid carcinoma metastasis to branchial cleft cyst. J Cancer Res Ther. 2018;14(6):1437-8. DOI: https://doi.org/10.4103/0973-1482.188440
Coste AH, Lofgren DH, Shermetaro C. Branchial Cleft Cyst. Indian J Dermatol. 2023;61(6):701. DOI: https://doi.org/10.4103/0019-5154.193718
Prada LR, Koripalli VS, Merino CL, Fulger I. A Case of a Rapidly Enlarging Neck Mass with Airway Compromise. J Clin Diagn Res. 2017;11(5):OD14. DOI: https://doi.org/10.7860/JCDR/2017/25685.9874
Mattioni J, Azari S, Hoover T, Weaver D, Chennupati SK. A cross-sectional evaluation of outcomes of pediatric branchial cleft cyst excision. Int J Pediatr Otorhinolaryngol. 2019;119:171-6. DOI: https://doi.org/10.1016/j.ijporl.2019.01.030
Downloads
Published
How to Cite
Issue
Section
