Immediate to middle-term outcome of operation for children with first branchial cleft anomalies
10.16066/j.1672-7002.2019.01.005
- VernacularTitle:小儿先天性第一鳃裂畸形的诊治及早中期疗效分析
- Author:
Wen YANG
1
;
Qi CHEN
;
Kun HAN
;
Yong ZHANG
;
Jun CHEN
;
Qixing ZHOU
Author Information
1. 华中科技大学同济医学院附属武汉儿童医院(武汉市妇幼保健院)
- Keywords:
Facial Nerve;
Surgical Procedures,Operative;
Postoperative Complications;
first branchial cleft anomalies
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2019;26(1):17-20
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To invest igate the immediate to middle-term outcome of operation for 22 children with first branchial cleft anomalies(FBCA). METHODS Twenty-two hospital ized cases who underwent s urgery for fi rst branchial cleft a nomalies f rom Jan. 2010 to Jan. 2017 were included in the study. Among them, 14 patients were male and the others were female. The median age at operation was 4.0 years old(11 months to 12 years old), and the weight of body was 14 kg(10 kg to 37 kg). There were 11 cases complicated with infection before operation. Eight patients had a history of incision and drainage. RESULTS Thirteen patients were diagnosed as Work Type I and the others were Type II. There were 2 cysts, 9 sinuses and 11 fistulas. All of the patients underwent surgery to remove the tract of FBCA. Based on the intraoperative anatomy, the tract ran superficial to the facial nerve in 15 cases, deep to it in 2 and passed between the branches in 5. There were no severe postoperative complications except 3 facial paralyses. At a median followup of 46 months (range from 7 to 84 months), one of the 3 patients with facial paralyses developed into normal and the other two became permanent. None of the patients had postoperative external auditory canal stenosis. There were 2 cases of recurrence who accepted a total of another three operations, and the others were free from reoperation. CONCLUSION Complete excision of the tract is the only way to cure FBCA, which has a close relationship with facial nerve. The surgical approach should be chosen according to the various types.
