Alyono Jennifer C, Hong Paul, Page Nathan C, Malicki Denise, Bothwell Marcella R
Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, 801 Welch Rd., Stanford, CA 94305, USA.
Ear Nose Throat J. 2014 Sep;93(9):E1-3.
Branchial cleft cysts, sinuses, and fistulas are the most common congenital lateral neck lesions in children. They arise as a result of an abnormal development of the branchial arches and their corresponding ectoderm-lined branchial clefts. Of these diverse anomalies, second branchial cleft lesions are the most common, accounting for approximately 95% of all branchial arch pathologies. We describe what is to the best of our knowledge the first reported case of an ectopic tooth in a branchial cleft anomaly. The patient was a young girl who had other congenital abnormalities and syndromic features and who was eventually diagnosed with Townes-Brocks syndrome. We describe the clinical presentation, management, pathologic analysis, and postoperative outcomes of this case, and we present a brief review of Townes-Brocks syndrome.
鳃裂囊肿、鳃裂窦和鳃裂瘘是儿童最常见的先天性颈部外侧病变。它们是由于鳃弓及其相应的内衬外胚层的鳃裂发育异常而产生的。在这些不同的异常情况中，第二鳃裂病变最为常见，约占所有鳃弓病变的95%。据我们所知，我们描述了首例在鳃裂异常中出现异位牙的病例报告。该患者是一名年轻女孩，有其他先天性异常和综合征特征，最终被诊断为汤姆斯-布罗克斯综合征。我们描述了该病例的临床表现、治疗、病理分析和术后结果，并对汤姆斯-布罗克斯综合征进行了简要综述。
