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ABC of Pediatric Surgical ImagingBranchial Cleft Anomalies

ABC of Pediatric Surgical Imaging: Branchial Cleft Anomalies Surgeon: J. Karpelowsky A Branchial Cleft Anomalies Radiologist: L. Tebogo Hlabangana Clinical Insights What the Surgeon Needs to Know Caused by a congenital anomaly of the Relationship to adjacent structures branchial arches. Whether it is solid or cystic Usually the second arch grows over the third and fourth arch. The branchial cleft is an ectoderm-lined cavity, which normally involutes. Persistence leads to an epithelium-lined cyst or sinus. Branchial cysts usually present later in life (6 years) Clinical Diff erential Diagnosis May present as a recurrent infected Lymph node abscess Dermoid cyst Parotid lesions Neoplasms L Warnings Oesophageal duplication cysts Thymic cysts May present as an abscess Laryngocoeles Very rarely may cause airway N  Cystic hygroma compromise US – Demonstrates a cystic neck mass deep to the sternocleidomastoid and superfi cial but closely asso- ciated with the internal jugular vein (IJV) and com- mon carotid artery (CCA) consistent with a second branchial cleft anomaly 18 Branchial Cleft Anomalies – Surgical Aspects Imaging options Primary: US Secondary: CT/MRI Back-up: Fistulogram ⚉ Imaging fi ndings US Hypo-echoic or anechoic cyst; may contain internal echoes if infected or haemorrhage CT CT scan – Demonstrates an uncomplicated second branchial cleft cyst deep to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

ABC of Pediatric Surgical ImagingBranchial Cleft Anomalies

Editors: Andronikou, Savvas; Alexander, Angus; Kilborn, Tracy; Millar, Alastair J. W.; Daneman, Alan
Karpelowsky, J.; Hlabangana, L. Tebogo
ABC of Pediatric Surgical Imaging — Jan 1, 2010
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Publisher
Springer Berlin Heidelberg
Copyright
© Springer-Verlag Berlin Heidelberg 2010
ISBN
978-3-540-89384-4
Pages
18 –19
DOI
10.1007/978-3-540-89385-1_9
Publisher site
See Chapter on Publisher Site

Abstract

Surgeon: J. Karpelowsky A Branchial Cleft Anomalies Radiologist: L. Tebogo Hlabangana Clinical Insights What the Surgeon Needs to Know Caused by a congenital anomaly of the Relationship to adjacent structures branchial arches. Whether it is solid or cystic Usually the second arch grows over the third and fourth arch. The branchial cleft is an ectoderm-lined cavity, which normally involutes. Persistence leads to an epithelium-lined cyst or sinus. Branchial cysts usually present later in life (6 years) Clinical Diff erential Diagnosis May present as a recurrent infected Lymph node abscess Dermoid cyst Parotid lesions Neoplasms L Warnings Oesophageal duplication cysts Thymic cysts May present as an abscess Laryngocoeles Very rarely may cause airway N  Cystic hygroma compromise US – Demonstrates a cystic neck mass deep to the sternocleidomastoid and superfi cial but closely asso- ciated with the internal jugular vein (IJV) and com- mon carotid artery (CCA) consistent with a second branchial cleft anomaly 18 Branchial Cleft Anomalies – Surgical Aspects Imaging options Primary: US Secondary: CT/MRI Back-up: Fistulogram ⚉ Imaging fi ndings US Hypo-echoic or anechoic cyst; may contain internal echoes if infected or haemorrhage CT CT scan – Demonstrates an uncomplicated second branchial cleft cyst deep to

Published: Jan 1, 2010

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