Alzaidi Suzan, Alsulami Omar A, Alqarni Saad, Alqurashi Alshema, Ghafouri Abdullah, Bin Abbas Elham S
Otolaryngology - Head and Neck Surgery, King Fahad Armed Forces Hospital, Jeddah, SAU.
Otolaryngology - Head and Neck Surgery, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.
Cureus. 2023 Aug 13;15(8):e43432. doi: 10.7759/cureus.43432. eCollection 2023 Aug.
Branchial cleft cysts are birth defects that happen when the first through fourth pharyngeal clefts do not close properly and most of these cysts develop from the second cleft. Second branchial cleft cysts are almost always in the neck, so it is rare for them to present in the nasopharynx. We report an extremely rare case of a branchial cleft cyst that is located in an unusual site in the nasopharynx in a 36-year-old male with no prior medical history. Computed tomography scan findings showed non-enhancing thickening of the right side mucosal-pharyngeal space, obliterating the fossa of Rosenmuller with no invasion or erosion. The patient was admitted for nasopharyngeal mass excision, and the mass was sent for histopathology. When a cystic lesion is noted in the lateral nasopharynx, branchial cleft cysts should be on the list of possible diagnoses. Surgery is primarily the treatment. The marsupialization approach is a simple way to treat nasopharyngeal branchial cleft cysts as it is safe and has limited complications.
鳃裂囊肿是一种出生缺陷，当第一至第四咽裂未正常闭合时就会发生，其中大多数囊肿由第二咽裂发育而来。第二鳃裂囊肿几乎总是位于颈部，因此很少出现在鼻咽部。我们报告了一例极其罕见的鳃裂囊肿病例，该囊肿位于一名36岁无既往病史男性的鼻咽部一个不寻常的部位。计算机断层扫描结果显示右侧黏膜-咽间隙增厚且无强化，罗森米勒窝消失，无浸润或侵蚀。患者因鼻咽部肿物切除入院，肿物送去做组织病理学检查。当在鼻咽部外侧发现囊性病变时，鳃裂囊肿应列入可能的诊断清单。手术是主要的治疗方法。袋形缝合术是治疗鼻咽部鳃裂囊肿的一种简单方法，因为它安全且并发症有限。
