Tags

Type your tag names separated by a space and hit enter

Branchial anomalies in the pediatric population.
Otolaryngol Head Neck Surg. 2007 Aug; 137(2):289-95.OH

Abstract

OBJECTIVE

We sought to review the presentation, evaluation, and treatment of branchial anomalies in the pediatric population and to relate these findings to recurrences and complications.

STUDY DESIGN AND SETTING

We conducted a retrospective study at a tertiary care pediatric hospital.

PATIENTS

Ninety-seven pediatric patients who were treated for branchial anomalies over a 10-year period were reviewed. Patients were studied if they underwent surgical treatment for the branchial anomaly and had 1 year of postoperative follow-up; 67 children met criteria, and 74 anomalies were studied.

RESULTS

Patients with cysts presented at a later age than did those with branchial anomaly fistulas or sinus branchial anomalies. 32% of branchial anomalies were previously infected. Of these, 71% had more than one preoperative infection. 18% of the BA were first arch derivatives, 69% were second arch derivatives and 7% were third arch derivatives. There were 22 branchial cysts, 31 branchial sinuses and 16 branchial fistulas. The preoperative and postoperative diagnoses differed in 17 cases. None of the excised specimens that contained a cystic lining recurred; all five recurrences had multiple preoperative infections.

CONCLUSIONS

Recurrence rates are increased when there are multiple preoperative infections and when there is no epithelial lining identified in the specimen.

Authors+Show Affiliations

Division of Pediatric Otolaryngology, Department of Surgery, Children's Memorial Hospital, Northwestern University, Chicago, IL 60614, USA. jschroeder@childrensmemorial.orgNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17666258

Citation

Schroeder, James W., et al. "Branchial Anomalies in the Pediatric Population." Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, vol. 137, no. 2, 2007, pp. 289-95.
Schroeder JW, Mohyuddin N, Maddalozzo J. Branchial anomalies in the pediatric population. Otolaryngol Head Neck Surg. 2007;137(2):289-95.
Schroeder, J. W., Mohyuddin, N., & Maddalozzo, J. (2007). Branchial anomalies in the pediatric population. Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 137(2), 289-95.
Schroeder JW, Mohyuddin N, Maddalozzo J. Branchial Anomalies in the Pediatric Population. Otolaryngol Head Neck Surg. 2007;137(2):289-95. PubMed PMID: 17666258.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Branchial anomalies in the pediatric population. AU - Schroeder,James W,Jr AU - Mohyuddin,Nadia, AU - Maddalozzo,John, PY - 2006/11/30/received PY - 2007/03/06/accepted PY - 2007/8/2/pubmed PY - 2007/9/28/medline PY - 2007/8/2/entrez SP - 289 EP - 95 JF - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JO - Otolaryngol Head Neck Surg VL - 137 IS - 2 N2 - OBJECTIVE: We sought to review the presentation, evaluation, and treatment of branchial anomalies in the pediatric population and to relate these findings to recurrences and complications. STUDY DESIGN AND SETTING: We conducted a retrospective study at a tertiary care pediatric hospital. PATIENTS: Ninety-seven pediatric patients who were treated for branchial anomalies over a 10-year period were reviewed. Patients were studied if they underwent surgical treatment for the branchial anomaly and had 1 year of postoperative follow-up; 67 children met criteria, and 74 anomalies were studied. RESULTS: Patients with cysts presented at a later age than did those with branchial anomaly fistulas or sinus branchial anomalies. 32% of branchial anomalies were previously infected. Of these, 71% had more than one preoperative infection. 18% of the BA were first arch derivatives, 69% were second arch derivatives and 7% were third arch derivatives. There were 22 branchial cysts, 31 branchial sinuses and 16 branchial fistulas. The preoperative and postoperative diagnoses differed in 17 cases. None of the excised specimens that contained a cystic lining recurred; all five recurrences had multiple preoperative infections. CONCLUSIONS: Recurrence rates are increased when there are multiple preoperative infections and when there is no epithelial lining identified in the specimen. SN - 0194-5998 UR - https://www.unboundmedicine.com/medline/citation/17666258/Branchial_anomalies_in_the_pediatric_population_ L2 - https://journals.sagepub.com/doi/10.1016/j.otohns.2007.03.009?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -