A Case of Fourth Branchial Pouch Sinus / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 246-249, 2003.
Article
in Korean
| WPRIM
| ID: wpr-650626
ABSTRACT
The fourth branchial pouch sinus is a developmental anomaly which most freqently manifests itself by recurrent episodes of neck abscess or acute suppurative thyroiditis. The most common developmental anomalies of the branchial apparatus are second cleft remnant, which constitute almost 95% of all anomalies. The remaining 5% are comprised almost exclusively of first and third arch remnants. So the fourth arch remnants are exceedingly rare. A high index of suspicion, combined with barium swallow pharyngogram and computed tomography scan can aid in diagnosis. Complete excision of the entire epithelial tract combined with ipsilateral thyroid lobectomy remains the mainstay of treatment. Authors experienced a case of lateral neck mass which was pathologically presumed to be the fourth branchial pouch sinus. We report this case with the related literature.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thyroid Gland
/
Barium
/
Thyroiditis, Suppurative
/
Branchial Region
/
Diagnosis
/
Abscess
/
Fistula
/
Hypopharynx
/
Neck
Type of study:
Diagnostic study
Language:
Korean
Journal:
Korean Journal of Otolaryngology - Head and Neck Surgery
Year:
2003
Type:
Article
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