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Third and fourth branchial pouch anomalies.
J Laryngol Otol. 2004 Jan; 118(1):19-24.JL

Abstract

Congenital sinuses arising from the pyriform fossae are rare. They may present as neck cysts, recurrent neck abscesses, thyroiditis or neonatal stridor. Children typically undergo multiple surgical procedures before the diagnosis is made. We present our recent experience of five third-pouch sinuses and four fourth-pouch sinuses, including one bilateral case. The median age at presentation was four years. The mean number of operations prior to diagnosis was six (range 0-13), with a mean delay to diagnosis of six years. The diagnosis was made by barium swallow, by ultrasound, at pharyngoscopy or at open surgery. The median age at definitive surgery was 10 years. Definitive treatment involved complete excision of the sinus and neck mass in seven cases. Two sinuses were treated with endoscopic diathermy to their internal opening. Adoption of the correct nomenclature, diagnostic tools and operative requirements for these cases will help reduce the significant morbidity.

Authors+Show Affiliations

Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London, UK. peter@rea999.freeserve.co.ukNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

14979967

Citation

Rea, P A., et al. "Third and Fourth Branchial Pouch Anomalies." The Journal of Laryngology and Otology, vol. 118, no. 1, 2004, pp. 19-24.
Rea PA, Hartley BE, Bailey CM. Third and fourth branchial pouch anomalies. J Laryngol Otol. 2004;118(1):19-24.
Rea, P. A., Hartley, B. E., & Bailey, C. M. (2004). Third and fourth branchial pouch anomalies. The Journal of Laryngology and Otology, 118(1), 19-24.
Rea PA, Hartley BE, Bailey CM. Third and Fourth Branchial Pouch Anomalies. J Laryngol Otol. 2004;118(1):19-24. PubMed PMID: 14979967.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Third and fourth branchial pouch anomalies. AU - Rea,P A, AU - Hartley,B E J, AU - Bailey,C M, PY - 2004/2/26/pubmed PY - 2004/4/7/medline PY - 2004/2/26/entrez SP - 19 EP - 24 JF - The Journal of laryngology and otology JO - J Laryngol Otol VL - 118 IS - 1 N2 - Congenital sinuses arising from the pyriform fossae are rare. They may present as neck cysts, recurrent neck abscesses, thyroiditis or neonatal stridor. Children typically undergo multiple surgical procedures before the diagnosis is made. We present our recent experience of five third-pouch sinuses and four fourth-pouch sinuses, including one bilateral case. The median age at presentation was four years. The mean number of operations prior to diagnosis was six (range 0-13), with a mean delay to diagnosis of six years. The diagnosis was made by barium swallow, by ultrasound, at pharyngoscopy or at open surgery. The median age at definitive surgery was 10 years. Definitive treatment involved complete excision of the sinus and neck mass in seven cases. Two sinuses were treated with endoscopic diathermy to their internal opening. Adoption of the correct nomenclature, diagnostic tools and operative requirements for these cases will help reduce the significant morbidity. SN - 0022-2151 UR - https://www.unboundmedicine.com/medline/citation/14979967/Third_and_fourth_branchial_pouch_anomalies_ DB - PRIME DP - Unbound Medicine ER -