American journal of otolaryngology · 2008
Fourth branchial cleft sinus: relationship to superior and recurrent laryngeal nerves.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Mantle Belinda A, Otteson Todd D, Chi David H
Аннотация
OBJECTIVES: 1) Demonstrate the surgical anatomy of a fourth branchial cleft sinus relative to the superior and recurrent laryngeal nerves. 2) Review the diagnosis and management of a fourth branchial cleft sinus.
DESIGN: Case Study.
SETTING: Tertiary Children's Hospital.
PATIENT: Three year old female who presented with a fever and painful right neck mass. CT scan demonstrated a right neck abscess containing air adjacent to the thyroid.
INTERVENTION: Two months after initial drainage, the patient underwent enbloc excision of the sinus including the thyroid lobe with closure of the piriform sinus defect.
MAIN OUTCOME MEASURE: Intraoperative photo documentation of the anatomic relationship between the fourth branchial sinus and surrounding neural structures.
RESULTS: The sinus tract was shown to terminate in the piriform sinus inferior to the superior laryngeal nerve.
DESIGN: Case Study.
SETTING: Tertiary Children's Hospital.
PATIENT: Three year old female who presented with a fever and painful right neck mass. CT scan demonstrated a right neck abscess containing air adjacent to the thyroid.
INTERVENTION: Two months after initial drainage, the patient underwent enbloc excision of the sinus including the thyroid lobe with closure of the piriform sinus defect.
MAIN OUTCOME MEASURE: Intraoperative photo documentation of the anatomic relationship between the fourth branchial sinus and surrounding neural structures.
RESULTS: The sinus tract was shown to terminate in the piriform sinus inferior to the superior laryngeal nerve.