No abstract available.
Branchial Region*

Congenital midline cervical cleft is a rare congenital anomaly of the ventral neck. Less than 100 cases have been reported in the literature. This anomaly is part of a spectrum of midline branchiogenic syndromes resulting from abnormal migration of cells derived from the branchial arches. It presents as a small skin tag superiorly with a linear, ventrically oriented atrophic patch. We present a case of congenital midline cervical cleft associated with congenital cardiac anomaly.
Branchial Region ; Neck ; Skin

No abstract available.
Branchial Region* ; Branchioma*

In this study, operative details and the postoperative courses of 42 patients who underwent cesarean section during Jan 2003-Dec 2004 at the Central Mothers’ Hospital were reported. The surgery used lower segment transverse incision technique with nonclosure of the visceral and parietal peritoneum. The Hinh Minh incision is performed. The uterine incision was closed in one layer with continuous, non-locking sutures, using a polyglactin no. 1 (Vicryl). Visceral and parietal peritoneum were left opened. The muscles were not approximated. The fascia was closed with a continuous non-locking suture of no. 1 Vicryl. The skin was closed with a continuous non-locking intradermic suture of no 2/0 nylon. Prophylactic antibiotic intravenous was used just after clamping the cord. Mean duration of intervention was 19.8  2.8 minutes. Nonclosure of the visceral and parietal peritoneum reduced operation time, and bowel function recovered more quickly
Cesarean Section ; Peritoneum ; Branchial Region

PURPOSE: The purpose of this study was to evaluate the CT features of second branchial cleft cysts. MATERIALS AND METHODS: We retrospectively analyzed the computed tomographic images in nine cases of second branchial cleft cyst which was confirmed pathologically. Emphasis was on localization of the masses to fascial spaces as defined by the deep cervical fasica. RESULTS: In all nine cases, the lerions were located in the submandibular and carotid spaces. Among these cases, six(67%) had simultaneous involvement of the other contiguous spaces, such as anterior and posterior cervical spaces. All cases had round or oval, unilocular, cystic masses with partial or complete rim enhancement. In eight cases(89%), smooth and thin walls were observed. In one case, thick wall and septations were noted. No definite calcifications were noted in all cases. The internal contents of cystic masses showed relatively homogeneous appearance, and CT number ranged from 20 to 35.2 Hounsfield unit(HU)(mean, 28.4HU). CONCLUSION: CT diagnosis of second branchial cleft cyst would be easily obtained from recognition of frequent simultaneous involvement of the other contiguous spaces, along with a typical location and characteristic morphology.
Branchial Region* ; Branchioma* ; Diagnosis ; Retrospective Studies

Congenital midline cervical cleft (CMCC) is a rare congenital anomaly of the ventral of the neck. The CMCC consists of a skin tag, mucosal surface, and a caudal sinus in the ventral midline of the neck. Embryologically, the development of CMCC is thought to be mainly due to failure of the branchial arches to fuse in the midline, resulting in a ventral midline defect of the skin of the neck. We report a rare case of congenital midline cervical cleft in a 6-year old girl, plus a review of the related literature.
Branchial Region ; Child ; Female ; Humans ; Neck ; Skin

Masses of the Parotid-Masseteric area can be caused by various different conditions, most commonly neoplasms of a benign nature. A rare cause for parotid tumors is the embryologic remnant of first branchial cleft cysts. A first branchial cleft cyst is an unusual clinical condition and is hard to be recognized. It is often misdiagnosed because its clinical feature is similar to what can be seen in other common diseases. So it may result in a diagnostic delay and insufficient and dangerous primary surgery. Definite surgical treatment of first branchial cleft cyst requires complete surgical excision, which usually necessitates identification and protection of the facial nerve and superficial parotidectomy. We report a case of first branchial cleft cyst that arose in parotid. We had a good aesthetic and functional result of surgical extirpation with sparing superficial parotid gland. There was no serious complication except temporary weakness of marginal mandibular branch of facial nerve.
Branchial Region* ; Branchioma* ; Facial Nerve ; Parotid Gland*

The auricle develops from six auricular tubercles which originate from the mesenchyme of the first and second branchial arch. If a defective fusion of these tubercles occur, a preauricular fistula may be formed. We report two cases of congenital preauricular fistula manifested by soft nodules with external openings on the left preauricular area. Histologically, the fistulas are lined by stratified squamous epithelium, and elastic cartilage. and chronic inflammatory cell infiltration are also present.
Branchial Region ; Elastic Cartilage ; Epithelium ; Fistula* ; Mesoderm

Peritonsillar abscess occurs commonly and is well known as a result of infection of the peritonsillar space. Peritonsillar abscess rarely occurrs following perfectely performed tonsillectomy. Instead, the most likely causes are due to the retained tonsillar tissue remnants, to the persistence of Weber's gland, and to the second branchial cleft fistula disruption secondary to tonsillectomy. There are no case reports or reviews existing in the Korean medical literature. We present two cases of peritonsillar abscess that occurred after tonsillectomy with a review of the international literatures.
Branchial Region ; Fistula ; Peritonsillar Abscess ; Tonsillectomy

The fourth branchial cleft cyst is rare and frequently unknown to clinicians. Misdiagnosis is common and definitive surgery is often made difficult by previous episodes of infection and incision. We have experienced a case of non-communicating dumbbell shaped fourth branchial cleft cyst. We performed complete excision of the entire epithelial tract after disarticulating the cricothyroid joint. There was no recurrence.
Branchial Region ; Branchioma ; Diagnostic Errors ; Joints ; Recurrence