Chen Wei, Zhou Yilong, Xu Mengrou, Xu Rong, Wang Qingyu, Xu Hongming, Chen Jiarui, Li Xiaoyan
Department of Otolaryngology-Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Department of Pediatric Otorhinolaryngology, Shenzhen Hospital, Southern Medical University, Shenzhen, China.
Front Pediatr. 2023 Mar 3;11:1088234. doi: 10.3389/fped.2023.1088234. eCollection 2023.
The objectives of this study was to review the clinical features and surgical treatment outcomes of congenital second branchial cleft anomalies (CSBCAs) and to investigate the characteristic computed tomography (CT) findings of CSBCAs.
We conducted a retrospective study of 52 children who were referred to Shanghai Children's Hospital from October 2014 to December 2021 diagnosed as CSBCAs.
There were 36 males and 16 females. Of them, 35 patients were presented as having a skin pit at birth or discharge from the skin opening on the lateral neck, and 17 patients presented with an asymptomatic or painful mass. The typical CT features of CSBCAs included isolated and homogeneously hypodense cystic lesions surrounded by a uniformly thin, smooth wall. CSBCAs were generally located at the anteromedial border of the sternocleidomastoid muscle, posterior to the submandibular gland, and lateral to the carotid sheath. All patients were treated surgically and only one case underwent ipsilateral tonsillectomy. After a median follow-up of 30 (range 4-90) months, no recurrence or complications were observed.
The CSBCAs show some characteristic CT findings, which can help clinicians diagnose and plan surgical strategies. High ligation of the lesions is sufficient for complete excision of CSBCAs.
本研究旨在回顾先天性第二鳃裂畸形（CSBCAs）的临床特征和手术治疗结果，并探讨CSBCAs的特征性计算机断层扫描（CT）表现。
我们对2014年10月至2021年12月转诊至上海儿童医学中心并被诊断为CSBCAs的52例患儿进行了回顾性研究。
其中男性36例，女性16例。其中，35例患者出生时或出院时表现为颈部外侧皮肤开口处有皮肤凹陷，17例患者表现为无症状或疼痛性肿块。CSBCAs的典型CT特征包括孤立的、均匀低密度的囊性病变，周围有均匀薄而光滑的壁。CSBCAs通常位于胸锁乳突肌的前内侧缘、下颌下腺后方和颈动脉鞘外侧。所有患者均接受了手术治疗，只有1例患者接受了同侧扁桃体切除术。中位随访30（4-90）个月后，未观察到复发或并发症。
CSBCAs表现出一些特征性CT表现，有助于临床医生诊断和制定手术策略。对病变进行高位结扎足以完整切除CSBCAs。
