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An unusual otoscopic finding associated with a type II first branchial cleft anomaly

  • A J Ebelhar (a1) and K Potts (a1)

Abstract

Objective:

We report an interesting case involving a child with a branchial cleft anomaly with two fistulous tracts, one of which was associated with an unusual otoscopic finding.

Case report:

A seven-year-old girl presented with an apparent type II first branchial cleft cyst after an acute infection. Parotidectomy and excision of the tract were performed, with subsequent development of pre-auricular swelling three months later. Further surgery was performed to remove a second duplication anomaly of the external auditory canal. Otomicroscopy showed a fibrous band arising from the wall of the canal and attached to the tympanic membrane at the umbo.

Conclusion:

Otoscopic findings on physical examination can be important diagnostic clues in the early recognition of branchial cleft anomalies. The classification system proposed by Work may fail to describe some branchial cleft lesions.

Copyright

Corresponding author

Address for correspondence: Dr. Kevin Potts, Division of Otolaryngology, 529 South Jackson Street, Louisville, KY 40202, USA E-mail: K.Potts@louisville.edu

References

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1Work, WP. Newer concepts of first branchial cleft defects. Laryngoscope 1972;9:1581–93
2Martinez Del Pero, M, Majumdar, S, Bateman, N, Bull, PD. Presentation of first branchial cleft anomalies: the Sheffield experience. J Laryngol Otol 2007;121:455–9
3Triglia, JM, Nicollas, R, Ducroz, V, Koltai, PJ, Garabedian, EN. First branchial cleft anomalies: a study of 39 cases and a review of the literature. Int J Pediatr Otorhinolaryngol 2004;68:909–14
4Lin, HW, Aliphas, A, Leonard, DS. Membranous band of a first branchial cleft anomaly. Otolaryngol Head Neck Surg 2009;141:420–1
5Sichel, JY, Eliashar, R, Saah, D. A myringeal web associated with first branchial cleft sinus. Otolaryngol Head Neck Surg 1998;118:286–7
6Ramirez, MJ, Galofre, JD, Domenech, FG, Martinez, RL. An unusual otomicroscopy diagnosis. Otolaryngol Head Neck Surg 2003;128:165–6
7Ford, GR, Balakrishnan, A, Evans, JNG, Bailey, CM. Branchial cleft and pouch anomalies. J Laryngol Otol 1992;106:137–43

Keywords

An unusual otoscopic finding associated with a type II first branchial cleft anomaly

  • A J Ebelhar (a1) and K Potts (a1)

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