Iatrogenic Horner’s Syndrome Associated with Branchial Cleft Cyst Surgery.

Aim: To report a case of right-sided iatrogenic Horner's syndrome developed after branchial cleft cyst surgery. Presentation of the Scope: An 8 year-old boy presented with right-sided eyelid ptosis and enophthalmos, and diagnosed as having Horner’s syndrome. Discussion: Ophthalmic examination yielded miosis in the affected eye. Medical history revealed branchial cleft cyst surgery 4 years ago and mild ptosis was identified in the first postoperative day. Conclusion: Iatrogenic Horner syndrome may follow the cleft cyst surgery in on neck.

Comportamiento del quiste branquial en pacientes del Hospital General Docente Ciro Redondo García, Artemisa, 1993-2009 / Behavior of branchial cyst in patients admitted in the \"Ciro Redondo García\", General Teaching Hospital, Artemisa municipality, 1993-2009

El quiste branquial de origen congénito que aparece en la región lateral del cuello es, con frecuencia, motivo de consulta. Se tuvo como objetivo determinar el comportamiento de los quistes branquiales en el Hospital Ciro Redondo García, de Artemisa en el periodo de 1993 al 2009. Se realizó un estudio descriptivo transversal de los quistes branquiales diagnosticados en pacientes intervenidos quirúrgicamente en el Servicio de Cirugía Maxilofacial. Se estudiaron la edad, el sexo, el color de la piel, el lado del cuello afectado, el resultado histopatológico y los medios auxiliares empleados. Se encontraron 12 quistes branquiales que afectaron el 50 por ciento de ambos sexos, un 75 por ciento a pacientes entre 15 y 30 años y un 75 por ciento de la piel blanca, un 66,7 por ciento afectó el lado derecho del cuello y en un 100 por ciento de los casos se utilizó la biopsia y el ultrasonido como medios auxiliares para su diagnóstico. Se encontró epitelio escamoso estratificado en un 100 por ciento de los quistes y en un 91,6 por ciento el tejido linfoide. No se encontró predilección por el sexo, la mayoría de los pacientes eran menores de 30 años, de piel blanca y presentaban los quistes en el lado derecho del cuello. En todos los pacientes se empleó la biopsia y el ultrasonido como medios auxiliares de diagnóstico. El epitelio escamoso estratificado y el tejido linfoide fueron los hallazgos histopatológicos más relevantes(AU)

The congenital branchial cyst appearaing in the lateral region of the neck is frequently consultation reason. The aim was to determine the behavior of the branchial cysts in the patients admitted in the Ciro Redondo García General Teaching Hospital of Artemisa municipality from 1993 to 2009. A cross-sectional and descriptive study was conducted of the branchial cysts diagnosed in patients operated on in the Maxillofacial Surgery Service. Study variables were: age, sex, the skin color, neck involved side, histopathological result and the auxiliary means used. There appear 12 branchial cysts involving the 50 per cent of both sexes, a 75 per cent aged between 15 and 30 and a 75 per cent of white skin, a 66,7 per cent involved the neck right side and in a 100 per cent of cases authors used biopsy and ultrasound as auxiliary means for its diagnosis. There was a stratified squamous epithelium in a 100 per cent of cysts and in a 91,6 per cent the lymphoid tissue. There was not predominance of sex, most of patient were aged under 30, white skin and had cysts in the neck right side. In all patients authors used the biopsy and ultrasound as diagnostic auxiliary means. The stratified squamous epithelium and the lymphoid tissue were the more relevant histopathological findings(AU)

Cystic carcinoma of the neck

Malignant cystic lesions of the lateral side of the neck are usually due to metastasis and are rarely primary carcinoma. The most common is metastatic cystic squamous cell carcinoma arising from a primary site at the Waldeyer's ring. However, they can arise from papillary carcinoma of thyroid, lung and mediastinum but very rarely from the abdominal and pelvic organs without regional lymph node involvement. Therefore, accurate diagnosis is very important for appropriate management. We report two cases of cystic squamous cell carcinoma of the lateral neck; cystic metastasis from an occult squamous cell carcinoma of the tongue and a primary branchiogenic carcinoma. We emphasize the importance of meticulous search for the primary malignant lesions in cases of cystic carcinoma of the neck.

Anomalías congénitas del aparato branquial: estudio de imágenes / Congenital anomalies of the branchial apparatus: imaging study

: The branchial apparatus consists of six arches that are separated from each other by branchial clefts and pharyngeal pouches. Its development is complex and multiple congenital defects can occur; including branchial cleft cysts, sinuses and fistulas, thymic cysts, aberrant thymic tissue and parathyroid cysts. The majority arises from the second branchial arch and they correspond to vestigial remnants from incomplete obliteration of the branchial apparatus or buried epithelial cell rests. Imaging studies are very helpful in the diagnosis and characterization of these anomalies, and require a good understanding of the embryogenesis. Considering the anatomical location and the radiological appearance the diagnosis could be precised in most cases. The purpose of this presentation is to show the appearance of some of the most frequent congenital anomalies of the branchial apparatus using different imaging modalities and emphasizing the normal embryologic development.

El aparato branquial, formado por seis arcos separados por hendiduras extemas y bolsas faríngeas en su parte interna, tiene un complejo desarrollo del cual pueden derivar anomalías como senos, fístulas o quistes y alteraciones del timo o glándula paratiroi-des. La mayoría de las malformaciones derivan del segundo componente branquial. Los estudios de imagen son útiles para el diagnóstico y caracterización de estas lesiones que será más exacta con un adecuado conocimiento del desarrollo embriológico. El objetivo de esta presentación es revisar la embriología y el aspecto más común en imágenes de algunas de estas anomalías.