Abstract
Third branchial cleft anomalies are rare congenital abnormalities with a complicated anatomical course. The traditional standard of treatment is complete open excision of the entire tract, but newer endoscopic and combined approaches are becoming more common. We summarize the anatomy, presentation, and evaluation of these anomalies. A review of the literature regarding the various surgical options and their associated risks and benefits is discussed. We then review the details of open excision, endoscopic treatment, and combined open or endoscopic surgical options. Given the higher risk of complications with open excision and the similar rates of recurrence with open and endoscopic procedures, we recommend endoscopic management of third branchial cleft anomalies as the first-line treatment.
| Original language | English (US) |
|---|---|
| Journal | Operative Techniques in Otolaryngology - Head and Neck Surgery |
| DOIs | |
| State | Accepted/In press - 2017 |
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Keywords
- Congenital neck anomalies
- Laryngoscopy
- Open and endoscopic approach
- Sinus tract obliteration
ASJC Scopus subject areas
- Surgery
- Otorhinolaryngology
Cite this
Third branchial cleft anomalies. / Lee, Janet W.; Funamura, Jamie Lauren.
In: Operative Techniques in Otolaryngology - Head and Neck Surgery, 2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Third branchial cleft anomalies
AU - Lee, Janet W.
AU - Funamura, Jamie Lauren
PY - 2017
Y1 - 2017
N2 - Third branchial cleft anomalies are rare congenital abnormalities with a complicated anatomical course. The traditional standard of treatment is complete open excision of the entire tract, but newer endoscopic and combined approaches are becoming more common. We summarize the anatomy, presentation, and evaluation of these anomalies. A review of the literature regarding the various surgical options and their associated risks and benefits is discussed. We then review the details of open excision, endoscopic treatment, and combined open or endoscopic surgical options. Given the higher risk of complications with open excision and the similar rates of recurrence with open and endoscopic procedures, we recommend endoscopic management of third branchial cleft anomalies as the first-line treatment.
AB - Third branchial cleft anomalies are rare congenital abnormalities with a complicated anatomical course. The traditional standard of treatment is complete open excision of the entire tract, but newer endoscopic and combined approaches are becoming more common. We summarize the anatomy, presentation, and evaluation of these anomalies. A review of the literature regarding the various surgical options and their associated risks and benefits is discussed. We then review the details of open excision, endoscopic treatment, and combined open or endoscopic surgical options. Given the higher risk of complications with open excision and the similar rates of recurrence with open and endoscopic procedures, we recommend endoscopic management of third branchial cleft anomalies as the first-line treatment.
KW - Congenital neck anomalies
KW - Laryngoscopy
KW - Open and endoscopic approach
KW - Sinus tract obliteration
UR - http://www.scopus.com/inward/record.url?scp=85021746252&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85021746252&partnerID=8YFLogxK
U2 - 10.1016/j.otot.2017.05.014
DO - 10.1016/j.otot.2017.05.014
M3 - Article
AN - SCOPUS:85021746252
JO - Operative Techniques in Otolaryngology - Head and Neck Surgery
JF - Operative Techniques in Otolaryngology - Head and Neck Surgery
SN - 1043-1810
ER -