Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (4): 111-116.doi: 10.6040/j.issn.1673-3770.0.2019.523

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Clinical analysis of 74 cases of branchial cleft cysts and fistulasWANG Yingying, ZHANG Liqing, ZHOU Han, DONG Shikun, CHEN Haibing, CHEN Xi, DONG Weida Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, Jiangsu, ChinaAbstract:Objective〓

This study aimed to describe the clinical features of 74 patients with cleft palate cysts and fistulas and analyze the diagnosis and treatment methods. MethodsBetween January 2010 and September 2019, the clinical data of 74 patients with branchial cleft cysts and fistulas were retrospectively reviewed and analyzed with related literature in our department. ResultsOf the 74 patients, 50 patients were diagnosed with second branchial cleft anomalies, 13 patients had first branchial cleft lesions, 10 patients had third branchial cleft lesions, and one patient had a fourth branchial cleft lesion. All patients received surgical treatment. After the exclusion of 3 patients who were lost to follow-up, 67 patients were successfully treated, 3 patients reported relapse, and 1 had permanent facial paralysis. ConclusionsThe clinical manifestations of congenital cleft palate cysts and fistulas are diverse, and the differential diagnosis is complicated. It is essential to perform a detailed physical examination and preoperative evaluation to make an accurate diagnosis. The approach for management is individualized, and surgical rehabilitation is the preferred treatment.   

  1. Key words: Branchial cleft cysts;
    Branchial fistula;
    Preoperative examination;
    Surgical treatment鳃裂异常是一种常见的先天性畸形, 术语鳃裂囊肿首先由Ascherson［1］于1832年使用。鳃裂异常是儿童期第二常见的头颈部先天性病变, 占儿童头颈肿块的20%［2］, 成年患者也不少见, 主要表现为囊肿、瘘管和窦道［3］。鳃裂病变种类较多且表现各异, 诊断并不容易, 而且若鳃裂病变并发感染, 形态及临床表现往往不典型, 鉴别诊断则更加困难, 从而导致了临床上较高的误诊漏诊率。该病灶毗邻关系复杂, 术中可能会存在瘘管残留的情况, 后续反复复发感染也会给患者生理及心理造成影响, 是耳鼻咽喉头颈外科医师面临的难题之一。为了提高对本病的认识, 我们总结分析了近10年在我院就诊鳃裂囊肿及瘘管患者的临床资料, 现报道如下。
  • Received:2019-10-17 Online:2020-07-20 Published:2020-08-28

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Abstract: Objective This study aimed to describe the clinical features of 74 patients with cleft palate cysts and fistulas and analyze the diagnosis and treatment methods. Methods Between January 2010 and September 2019, the clinical data of 74 patients with branchial cleft cysts and fistulas were retrospectively reviewed and analyzed with related literature in our department. Results Of the 74 patients, 50 patients were diagnosed with second branchial cleft anomalies, 13 patients had first branchial cleft lesions, 10 patients had third branchial cleft lesions, and one patient had a fourth branchial cleft lesion. All patients received surgical treatment. After the exclusion of 3 patients who were lost to follow-up, 67 patients were successfully treated, 3 patients reported relapse, and 1 had permanent facial paralysis. Conclusions The clinical manifestations of congenital cleft palate cysts and fistulas are diverse, and the differential diagnosis is complicated. It is essential to perform a detailed physical examination and preoperative evaluation to make an accurate diagnosis. The approach for management is individualized, and surgical rehabilitation is the preferred treatment.

Key words: Branchial cleft cysts, Branchial fistula, Preoperative examination, Surgical treatment

CLC Number: 

  • R739
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