Thottam Prasad John, Bathula Samba S, Poulik Janet M, Madgy David N
Department of Pediatric Otolaryngology, Children's Hospital of Michigan, 3901 Beaubien St., Detroit, MI 48201.
Ear Nose Throat J. 2014 Oct-Nov;93(10-11):466-8.
Branchial cleft anomalies make up 30% of all pediatric neck masses, but complete second branchial cleft anomalies are extremely rare. We report an unusual case of a complete second branchial cleft anomaly that presented as a draining neck fistula and a tonsillar cyst in an otherwise healthy 3-month-old girl. At the age of 7 months, the patient had been experiencing feeding difficulties, and there was increasing concern about the risk of persistent infections. At that point, the anomaly was excised in its entirety. Our suspicion that the patient had a complete second branchial cleft anomaly was confirmed by imaging, surgical excision, and histopathologic analysis.
鳃裂畸形占所有小儿颈部肿块的30%，但完全性第二鳃裂畸形极为罕见。我们报告了一例不寻常的完全性第二鳃裂畸形病例，该病例表现为一名3个月大健康女婴颈部有瘘管引流及扁桃体囊肿。患儿7个月大时出现喂养困难，人们越来越担心其持续感染的风险。此时，该畸形被完整切除。影像学、手术切除及组织病理学分析证实了我们的怀疑，即该患儿患有完全性第二鳃裂畸形。
