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Cervical chrondrocutaneous branchial remnants

G Atlan1, E P Egerszegi, P Brochu

  • 1Maxillofacial Surgery Service, Lapeyronie Hospital, Montpellier, France.

Plastic and Reconstructive Surgery
|July 1, 1997
PubMed
Summary

Cervical chondrocutaneous branchial remnants are congenital neck lesions. These remnants, often mistaken for preauricular tags, are linked to significant associated anomalies, necessitating thorough patient examination.

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Area of Science:

  • Congenital Malformations
  • Pediatric Surgery
  • Head and Neck Surgery

Background:

  • Cervical chondrocutaneous branchial remnants are uncommon congenital neck lesions.
  • They resemble preauricular tags but are located laterally.
  • These remnants are less understood than other congenital anomalies.

Purpose of the Study:

  • To review clinical characteristics, investigations, surgical data, and pathology of cervical chondrocutaneous branchial remnants.
  • To identify associated anomalies and potential origins.
  • To propose standardized nomenclature and recommend diagnostic approaches.

Main Methods:

  • Retrospective review of 20 cases of cervical tags (1980-1993).
  • Analysis of 17 true cervical chondrocutaneous branchial remnants, with 15 surgically treated.

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  • Documentation of clinical presentation, surgical findings, pathology, and associated anomalies.

    • Main Results:

    • Male predominance (11/17) and rarity of bilateral lesions (1/17).
    • Consistent presence of elastic cartilage core in all operated specimens (15/15).
    • High incidence of associated anomalies (13/17), suggesting a link to the second branchial arch.

    Conclusions:

    • Cervical chondrocutaneous branchial remnants likely originate from the second branchial arch.
    • Simple surgical excision is effective treatment.
    • Complete physical examination and potential genitourinary ultrasound are crucial due to the high rate of associated anomalies.