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Second branchial cleft cyst: about 34 cases.

Mouna Bellakhdhar, Jihéne Haouas, Wed El Abed

La Tunisie Medicale

|May 28, 2019

Summary

Second branchial cleft cysts are rare tumors. Surgical excision is the confirmed treatment, though malignant degeneration and recurrence are possible outcomes.

Area of Science:

Otolaryngology
Head and Neck Surgery
Surgical Pathology

Background:

Amygdaloid cysts, or second branchial cleft cysts, are rare laterocervical cystic tumors.
These cysts represent approximately 2% of all laterocervical tumors.

Purpose of the Study:

To analyze the anatomo-clinical features of second branchial cleft cysts.
To discuss the management and therapeutic strategies for these cysts.

Main Methods:

A retrospective study of 34 cases diagnosed and treated between 2000 and 2013.
Utilized physical examination, cervical ultrasound, CT, MRI, and fine needle aspiration biopsy for diagnosis.
All patients underwent surgical excision for definitive treatment.

Main Results:

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The study included 34 patients with an average age of 27 years and a sex ratio of 0.8.
Cervical masses were present in all cases, predominantly jugulo-carotid.
Histopathological examination confirmed second branchial cleft cysts, with 2 cases showing malignant degeneration and 1 recurrence.

Conclusions:

Second branchial cleft cysts are uncommon congenital malformations.
Diagnosis is definitively established through histopathological examination.
Surgical excision remains the primary and effective treatment modality.