Management of anomalies of the third and fourth branchial pouches

Kevin D. Pereira, Garrett G. Losh, Dwight Oliver, Michael D. Poole

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Third and fourth branchial pouch anomalies are rare and usually present as lateral neck masses, abscesses or with acute suppurative thyroiditis. An opening in the piriform sinus can be identified in most cases. We present four cases of fourth branchial pouch sinuses, one of a third branchial cyst and discuss our management. Cannulation of the sinus tract at laryngoscopy, followed by complete surgical excision, via a modified oblique thyrotomy above the cricothyroid joint after detaching the inferior constrictor was used to treat the fourth branchial pouch anomalies. This surgical approach adequately exposes the piriform sinus apex and also affords protection to the recurrent laryngeal nerve. The third pouch cyst and tract were excised at the level of the thyrohyoid membrane. There were no complications or recurrences.

Original languageEnglish (US)
Pages (from-to)43-50
Number of pages8
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume68
Issue number1
DOIs
StatePublished - Jan 2004

Fingerprint

Pyriform Sinus
Suppurative Thyroiditis
Branchioma
Recurrent Laryngeal Nerve
Laryngoscopy
Catheterization
Abscess
Cysts
Neck
Joints
Recurrence
Membranes

Keywords

  • Branchial
  • Cyst
  • Fistula
  • Piriform sinus

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

Management of anomalies of the third and fourth branchial pouches. / Pereira, Kevin D.; Losh, Garrett G.; Oliver, Dwight; Poole, Michael D.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 68, No. 1, 01.2004, p. 43-50.

Research output: Contribution to journalArticle

Pereira, Kevin D. ; Losh, Garrett G. ; Oliver, Dwight ; Poole, Michael D. / Management of anomalies of the third and fourth branchial pouches. In: International Journal of Pediatric Otorhinolaryngology. 2004 ; Vol. 68, No. 1. pp. 43-50.
@article{46012cfce57e4089ac23fe4e2113f350,
title = "Management of anomalies of the third and fourth branchial pouches",
abstract = "Third and fourth branchial pouch anomalies are rare and usually present as lateral neck masses, abscesses or with acute suppurative thyroiditis. An opening in the piriform sinus can be identified in most cases. We present four cases of fourth branchial pouch sinuses, one of a third branchial cyst and discuss our management. Cannulation of the sinus tract at laryngoscopy, followed by complete surgical excision, via a modified oblique thyrotomy above the cricothyroid joint after detaching the inferior constrictor was used to treat the fourth branchial pouch anomalies. This surgical approach adequately exposes the piriform sinus apex and also affords protection to the recurrent laryngeal nerve. The third pouch cyst and tract were excised at the level of the thyrohyoid membrane. There were no complications or recurrences.",
keywords = "Branchial, Cyst, Fistula, Piriform sinus",
author = "Pereira, {Kevin D.} and Losh, {Garrett G.} and Dwight Oliver and Poole, {Michael D.}",
year = "2004",
month = "1",
doi = "10.1016/j.ijporl.2003.09.004",
language = "English (US)",
volume = "68",
pages = "43--50",
journal = "International Journal of Pediatric Otorhinolaryngology",
issn = "0165-5876",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

TY - JOUR

T1 - Management of anomalies of the third and fourth branchial pouches

AU - Pereira, Kevin D.

AU - Losh, Garrett G.

AU - Oliver, Dwight

AU - Poole, Michael D.

PY - 2004/1

Y1 - 2004/1

N2 - Third and fourth branchial pouch anomalies are rare and usually present as lateral neck masses, abscesses or with acute suppurative thyroiditis. An opening in the piriform sinus can be identified in most cases. We present four cases of fourth branchial pouch sinuses, one of a third branchial cyst and discuss our management. Cannulation of the sinus tract at laryngoscopy, followed by complete surgical excision, via a modified oblique thyrotomy above the cricothyroid joint after detaching the inferior constrictor was used to treat the fourth branchial pouch anomalies. This surgical approach adequately exposes the piriform sinus apex and also affords protection to the recurrent laryngeal nerve. The third pouch cyst and tract were excised at the level of the thyrohyoid membrane. There were no complications or recurrences.

AB - Third and fourth branchial pouch anomalies are rare and usually present as lateral neck masses, abscesses or with acute suppurative thyroiditis. An opening in the piriform sinus can be identified in most cases. We present four cases of fourth branchial pouch sinuses, one of a third branchial cyst and discuss our management. Cannulation of the sinus tract at laryngoscopy, followed by complete surgical excision, via a modified oblique thyrotomy above the cricothyroid joint after detaching the inferior constrictor was used to treat the fourth branchial pouch anomalies. This surgical approach adequately exposes the piriform sinus apex and also affords protection to the recurrent laryngeal nerve. The third pouch cyst and tract were excised at the level of the thyrohyoid membrane. There were no complications or recurrences.

KW - Branchial

KW - Cyst

KW - Fistula

KW - Piriform sinus

UR - http://www.scopus.com/inward/record.url?scp=0346365210&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0346365210&partnerID=8YFLogxK

U2 - 10.1016/j.ijporl.2003.09.004

DO - 10.1016/j.ijporl.2003.09.004

M3 - Article

C2 - 14687686

AN - SCOPUS:0346365210

VL - 68

SP - 43

EP - 50

JO - International Journal of Pediatric Otorhinolaryngology

JF - International Journal of Pediatric Otorhinolaryngology

SN - 0165-5876

IS - 1

ER -