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Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
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Right-Sided Type IV Branchial Cleft Anomaly in a Seven-Year-Old Boy: A Case Report
Janvi J Shukla1, Sara Morgan1, David Wassef1
1Otolaryngology - Head and Neck Surgery, Rutgers University New Jersey Medical School, Newark, USA.
Cureus
|July 28, 2025
Summary
Type IV branchial cleft anomalies are rare congenital conditions. A novel ablation technique successfully treated a rare right-sided type IV branchial cleft cyst in a child, avoiding surgery.
Area of Science:
- Congenital anomalies
- Pediatric surgery
- Otolaryngology
Background:
- Type IV branchial cleft anomalies are the rarest congenital malformations of the branchial apparatus.
- These anomalies typically manifest in childhood with recurrent neck abscesses and can involve the sternocleidomastoid muscle and pyriform sinus.
Observation:
- A seven-year-old boy presented with a rare right-sided type IV branchial cleft cyst.
- Diagnostic imaging included ultrasound, CT, MRI, sinogram, and direct laryngoscopy.
Findings:
- The case highlights a successful primary treatment of a right-sided type IV branchial cleft cyst using Bugbee cauterization and drainage.
- This minimally invasive approach avoided the need for surgical excision or thyroidectomy.
Implications:
- Ablation techniques may offer a viable alternative to surgery for specific branchial cleft anomalies.
- This approach could potentially reduce morbidity and improve patient outcomes in pediatric cases.
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