Ash Javier, Sanders Oliver H, Abed Tarik, Philpott Jonathan
Otolaryngology, Southend University Hospital, Southend-on-Sea, GBR.
Cureus. 2021 Dec 24;13(12):e20655. doi: 10.7759/cureus.20655. eCollection 2021 Dec.
Two patients presented with fluctuant areas inferior to the pinna. The first required numerous procedures and investigations before a correct diagnosis was obtained. However, with awareness of this condition, the subsequent patient was quickly identified and managed appropriately. First branchial cleft abnormalities are uncommon, however, present with common symptoms. Their location and characteristics in paediatric patients is key to having it in the differential diagnosis. Consideration of this condition by ENT surgeons is key to prevent multiple invasive and futile operations in our paediatric cohort.
两名患者耳廓下方出现波动区域。第一名患者在获得正确诊断之前需要进行多次手术和检查。然而,由于对这种情况有所认识,随后的患者很快得到了确诊并得到了妥善处理。第一鳃裂畸形并不常见,但会出现常见症状。其在儿科患者中的位置和特征是将其纳入鉴别诊断的关键。耳鼻喉科医生考虑到这种情况对于避免在我们的儿科患者群体中进行多次侵入性且徒劳的手术至关重要。