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Related Experiment Videos

Persistent third branchial apparatus.

J N Lin1, K L Wang

  • 1Section of Pediatric Surgery, Chang Gung Medical College, Taipei, Taiwan.

Journal of Pediatric Surgery
|June 1, 1991
PubMed
Summary
This summary is machine-generated.

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Persistent third branchial apparatus, rare neck anomalies, can manifest as cysts or fistulae. Early diagnosis is crucial to prevent complications like esophagocutaneous fistulas.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Medical Imaging

Background:

  • Third branchial apparatus anomalies are infrequently reported.
  • These anomalies can present as neck sinuses, cysts, or fistulae.

Purpose of the Study:

  • To report on a series of persistent third branchial apparatus cases.
  • To highlight the spectrum of presentations and diagnostic challenges.

Main Methods:

  • Retrospective review of 16 cases diagnosed between 1979 and 1989.
  • Diagnosis based on fistula proximity to the pyriform sinus.
  • Esophagography and surgical findings were used for confirmation.

Main Results:

  • Presentations included suppurative thyroiditis, lateral neck fistulae, cysts, masses, abscesses, and esophageal strictures.

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  • Esophagography identified fistula tracts in 4 out of 6 cases.
  • The condition presents as a spectrum, from neonatal cysts to childhood fistulae or thyroiditis.

    • Conclusions:

    • Persistent third branchial apparatus is a spectrum of disease presenting from infancy to childhood.
    • Identifying the internal communication to the pyriform sinus is vital for accurate diagnosis.
    • Increased awareness may lead to a higher reported incidence of this condition.