Journal of Otology & RhinologyISSN: 2324-8785

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Case Report, J Otol Rhinol Vol: 4 Issue: 2

4th Branchial Cleft Cyst Anomaly: Case Presentation

Erez S Davidi1,2, Meir Warman1,2*, Yonatan Lahav1,2, Doron Schindel1,2 and Doron Halperin1,2
1Department of Otolaryngology Head & Neck Surgery, Kaplan Medical Center,Rehovot
2Hebrew University-Hadassah Medical School, Jerusalem, Israel
Corresponding author : Meir Warman
Department of Otolaryngology, Head and Neck surgery, Kaplan Medical Center, Pasternak St., P.O.B 1, Rehovot 76100, Israel
Received: September 10, 2014 Accepted: December 18, 2014 Published: March 13, 2015
Citation: Davidi ES, Warman M, Lahav Y, Schindel D, Halperin D (2015) 4th Branchial Cleft Cyst Anomaly: Case Presentation. J Otol Rhinol 4:2. doi:10.4172/2324-8785.1000218


4th Branchial Cleft Cyst Anomaly: Case Presentation

The human branchial apparatus is composed of six paired mesodermal arches, separated by endodermal and ectodermal invaginations known as pouches and clefts, respectively. Error in obliteration of a pouch or groove may create a sinus, fistula or a cyst. Approximately 95% of congenital anomalies of the branchial apparatus involve the second arch, pouch or cleft, while the remaining mostly arise from the first and third arches. Fourth branchial involvement is extremely rare with only few cases published in the English literature. In this report we will emphasize the working dilemma in establishing the correct diagnosis of fourth branchial cleft cyst. Diagnostic tools and appropriate treatment will be addressed as well.

Keywords: Branchial cleft; Cyst; Fourth branchial cleft cyst; Hemithyroidectomy

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