Mounsey R A, Forte V, Friedberg J
Division of Otolaryngology, Hospital for Sick Children, Toronto, Toronto, Canada.
J Otolaryngol. 1993 Dec;22(6):457-61.
First branchial cleft sinuses account for less than 1% of all branchial cleft anomalies. A thorough understanding of the embryology and developmental anatomy is essential for successful management. Nine cases of first branchial cleft sinuses treated at The Hospital for Sick Children by the Department of Otolaryngology between 1984 and 1990 were reviewed. A large proportion of these lesions were initially misdiagnosed despite significant symptomatology. This resulted in a high rate of infectious complications. Early diagnosis, prompt control of infection, and early surgical excision are recommended. Current methods of diagnosis and treatment are discussed along with techniques for facial nerve preservation.
第一鳃裂窦占所有鳃裂畸形的比例不到1%。全面了解胚胎学和发育解剖学对于成功治疗至关重要。回顾了1984年至1990年间在病童医院耳鼻喉科治疗的9例第一鳃裂窦病例。尽管有明显症状，但这些病变中有很大一部分最初被误诊。这导致了较高的感染并发症发生率。建议早期诊断、及时控制感染并尽早进行手术切除。本文讨论了当前的诊断和治疗方法以及面神经保留技术。
