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Type III Second Branchial Cleft Cyst: A Rare Presentation.

Vaidehi Hande1, Shraddha Jain2, Chandra Veer Singh2

  • 1Otolaryngology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND.

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Summary

This study reports an extremely rare case of a Type III second branchial cleft cyst (BCC), a condition presenting between the carotid arteries. Surgical excision is the recommended treatment, requiring detailed imaging for accurate diagnosis and management.

Keywords:
branchial archbranchial cystneck massneck swellingtype iii

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Area of Science:

  • Head and Neck Surgery
  • Surgical Pathology
  • Diagnostic Imaging

Background:

  • Branchial cleft cysts (BCCs) are congenital anomalies, with the second BCC being the most prevalent type.
  • Bailey's classification categorizes second BCCs into four types, with Type II being the most common, typically located lateral to the carotid space.

Observation:

  • A Bailey Type III second BCC, characterized by its extension between the internal and external carotid arteries, is exceptionally rare.
  • The presented case involved a patient experiencing dysphagia, a symptom associated with this rare anatomical location of the cyst.

Findings:

  • Contrast-enhanced computed tomography (CECT) and magnetic resonance imaging (MRI) are crucial for delineating the precise extent of the cyst.
  • Imaging findings confirmed the rare Type III classification, highlighting the cyst's position between the carotid arteries.

Implications:

  • Accurate pre-operative imaging is essential for planning complete surgical excision, the definitive treatment for branchial cleft cysts.
  • Reporting rare cases like this Type III BCC contributes valuable data for understanding and managing these uncommon congenital conditions.