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An unusual otoscopic finding associated with a type II first branchial cleft anomaly.

Abstract

OBJECTIVE
We report an interesting case involving a child with a branchial cleft anomaly with two fistulous tracts, one of which was associated with an unusual otoscopic finding.
CASE REPORT
A seven-year-old girl presented with an apparent type II first branchial cleft cyst after an acute infection. Parotidectomy and excision of the tract were performed, with subsequent development of pre-auricular swelling three months later. Further surgery was performed to remove a second duplication anomaly of the external auditory canal. Otomicroscopy showed a fibrous band arising from the wall of the canal and attached to the tympanic membrane at the umbo.
CONCLUSION
Otoscopic findings on physical examination can be important diagnostic clues in the early recognition of branchial cleft anomalies. The classification system proposed by Work may fail to describe some branchial cleft lesions.

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  • Publisher Full Text
  • Authors

    Ebelhar AJ, Potts K

    Source

    The Journal of laryngology and otology 126:3 2012 Mar pg 316-8

    MeSH

    Abscess
    Branchial Region
    Branchioma
    Child
    Drainage
    Ear Canal
    Female
    Head and Neck Neoplasms
    Humans
    Microscopy
    Neck
    Otoscopy
    Parotid Diseases
    Reoperation
    Tympanic Membrane

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    22152758