Martiat B, Vaneecloo F M, Piquet J J
Service de Clinique Oto-Rhino-Laryngologie, CHU de Lille.
Acta Otorhinolaryngol Belg. 1988;42(1):58-75.
These are cysts and fistulae which closely adherent to the external auditory canal and drain through the high lateral cervical suprahyoid site. Misdiagnosis is common with these lesions and inadequate removal leads to surgical failure. A review of the embryology of this region is necessary since we intend to explain the clinical aspects and the variable relationship to the facial nerve. Eight cases are described and the literature pertaining to first branchial cleft syndrome is reviewed. Diagnostic and management problems will be discussed. A full exposure of the parotid gland and facial nerve is essential to complete removal and facial nerve preservation.
这些是紧密附着于外耳道并通过高位颈侧舌骨上部位引流的囊肿和瘘管。这些病变常被误诊，切除不充分会导致手术失败。由于我们打算解释该区域的临床情况以及与面神经的可变关系，因此有必要回顾一下该区域的胚胎学。本文描述了8例病例，并回顾了与第一鳃裂综合征相关的文献。将讨论诊断和管理问题。充分暴露腮腺和面神经对于彻底切除和保留面神经至关重要。
