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Exploring the Diagnostic Conundrum: Nasopharyngeal Branchial Cyst - A Case Report
Izhak Mehadi1, K Neema2, Dhanush Nayak1
1Department of Otorhinolaryngology JNMC, Belagavi, Kaher, India.
Summary
Nasopharyngeal branchial cleft cysts are rare neck anomalies. This case highlights a nasopharyngeal presentation managed successfully with transnasal endoscopic marsupialization.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Surgical Pathology
Background:
- Nasopharyngeal branchial cleft cysts originate from the 2nd branchial cleft, typically found in the neck.
- Surgical excision can be complex, posing risks of vascular injury at the skull base.
Purpose of the Study:
- To report a rare case of a nasopharyngeal branchial cleft cyst.
- To discuss the diagnostic and management considerations for this rare anomaly.
Main Methods:
- A 40-year-old female with symptoms of nasal obstruction and throat discomfort underwent evaluation.
- Computed tomography (CECT) revealed a cystic lesion in the nasopharynx.
- Surgical management involved transnasal endoscopic aspiration and marsupialization of the cyst.
Main Results:
- The patient presented with bilateral nasal obstruction, mouth breathing, and foreign body sensation.
- CECT confirmed a cystic lesion in the nasopharynx, causing luminal narrowing.
- Post-operative recovery was managed with intravenous antibiotics.
Conclusions:
- Nasopharyngeal branchial cleft cyst should be considered in the differential diagnosis of nasopharyngeal masses.
- Distinguishing it from other cystic lesions like Rathke's pouch or Tornwaldt's cyst requires systematic evaluation.
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