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Submitted: 16 May 2007 Modified: 02 October 2018
HERDIN Record #: PCHRDPC990241

Air-filled cyst in the neck: The only documented sixth branchial anomaly.

Manuel Tomas Colmenar,
Frederick Y. Hawson

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There are various congenital anomalies of branchial origin found in the neck region. This paper reports a case of a right anterolateral cervical air-filled cyst in a 47 year-old female. Several radiologic studies were done to establish a possible connection with the digestive and respiratory tracts. Differential diagnoses such as branchial cyst, laryngocele, a bronchogenic cyst or a pneumatocele were entertained. Subsequent neck exploration revealed a cyst with a sinus tract leading into the right apical pleura. Histopathologic examination showed findings consistent with a branchial cyst. It is, therefore valid to conclude that this is a cyst originating from the sixth branchial arch, the recurrent laryngeal nerve. This is perhaps the first and only documented case of such an anomaly in world literature.

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Journal of Otolaryngology Head and Neck Surgery
Frequency
Semi-Annual
Publication Date
1995
Page(s)
93-98
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No. 64 Fulltext Print Format (Request Document)
Philippine Society of Otolaryngology-Head and Neck Surgery Abstract Print Format
Philippine Council for Health Research and Development Fulltext pdf (Request Document)
1. Batsakis, JG . Cysts, sinuses and "coeles" from tumors of the head and neck: clinical and pathological considerations Baltimore: Williams and Wilkins, 1979. 514-530. (2nd ed)
2. Benson, MT , et al., . "Congenital anomalies of the branchial apparatus: embryology and pathologic anatomy" Radiographics 12, 943-960, 1992. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/1529135
3. Chandler, JR , Mitchell, B . "Branchial cleft cysts, sinuses, and fistulas" Otolaryngologic Clinics of North America 14, 175-186, 1981. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/7254839
4. Chenrick, V . Kendig Philadelphia: W.B. Saunders Co., 1990. 627-628.
5. Godins, MS , et al., . "Fourth branchial pouch sinus: principles of diagnosis and management" Laryngoscope 100, 174-178, 1990. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/2405229
6. Ford, GR , et al., . "Branchial cleft and pouch anomalies" Journal of Laryngology and Otology 106, 137-143, 1992. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/1556487
7. Lilington, GA , Jamplis, RW . A diagnostic approach to chest diaseases Baltimore: Williams & Wilkins Company, 1977.
8. Picus, RL . Congenital neck masses and cysts. Bailey Philadelphia: JB Lippincott Co., 1993. 754-760.
9. Ravitch, MM , et al., . Pediatric surgery Chicago: Year Book Medical Publishers, Inc., 1982.
10. Reed, JC , et al., . Chest radiology Chicago: Year Book Medical Publishers, Inc., 1987.
11. Takimoto, T , et al., . "Fourth branchial pouch anomaly" Journal of Laryngology and Otology 104, 905-907, 1990. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/2266321
12. Weit, N . Anatomy of the larynx and tracheobronchial tree. Scott-Brown London: Butterworth, 1987. 296-321.
13. Whitworth, IH , et al., . "Fourth branchial arch anomaly: a rare incidental finding in an adult" Journal of Laryngology and Otology 107, 238-239, 1993. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/8509704