J Korean Soc Plast Reconstr Surg.  2010 May;37(3):297-300.

Three Cases of Cervical Branchial Remnants

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Gyeongsangbuk-do, Korea. medi619@hanmail.net
  • 2Department of Plastic and Reconstructive Surgery, College of Medicine, Konyang University, Korea.

Abstract

PURPOSE
Failure of proper migration, fusion, or maturation of the branchial apparatus components results in a variety of congenital defects. Of these, cartilaginous rests are infrequent, while branchial cysts and sinuses are more common, relatively. The purpose of this study is to examine the clinical and pathological features of rare cervical branchial remnants in order to provide basis for its correct diagnosis and treatment.
METHODS
We report three cases of cervical branchial remnants which were treated in our hospital from December 2004 to December 2009. These cases were examined their clinical features, histologic findings and treatments. The patients had been operated with simple excision, excision of the combined components and preoperative antiboitics.
RESULTS
A retrospective review produced 2 cases of the cervical branchial remnants and 1 case of the cervical chondrocutaneous branchial remnant. All cases were on the left side of the neck, and anterior to the sternocleidomastoid muscle. Histopathological examination showed that fistula & sinus were lined with stratified squamous epithelium, additionally, they were consisted of a cutaneous envelope containing sebaceous glands, hair follicles, various amounts of adipose tissue, and elastic fibers. And, One case revealed containing hyaline cartilage. No patient developed complications or reccurences.
CONCLUSION
The authors recommend simple surgical excision of the remnants when discharge, infection, or cosmetic problem occur. Finally, these lesions do not have fistulous tracts or connections with important, deeper organs, and so can be safely transected at the level of the superficial musculature.

Keyword

Branchial remnant; Cervical; Cartilage

MeSH Terms

Adipose Tissue
Branchioma
Cartilage
Congenital Abnormalities
Cosmetics
Elastic Tissue
Epithelium
Fistula
Hair Follicle
Humans
Hyaline Cartilage
Muscles
Neck
Retrospective Studies
Sebaceous Glands
Cosmetics
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