Eşlik eden başka bir doğuştan anormalliği olmayan bir hastada iki taraflı ikinci brankiyal yarık kisti
İki taraflı ikinci brankiyal yarık kisti saptanan 30 ya- flındaki erkek hasta sunuldu; olgunun ilginç yanı, kistlere baflka bir doğufltan anormalliğin, özellikle de brankiyo-oto-renal sendromun efllik etmemesiydi. Hasta boynun iki tarafında ağrısız flifllik flikayetiyle baflvurdu. Fizik muayene ve radyolojik incelemeler sonucunda iki taraflı brankiyal yarık kisti tanısı kondu. Genel fizik muayene, rutin kan testleri, odyo- lojik değerlendirme, temporal kemik bilgisayarlı to- mografisi, abdominal ve renal ultrasonografi ile arafl- tırılmasına rağmen hastada baflka bir doğufltan anormalliğe rastlanmadı. Boyundaki kistlere üç haf- ta arayla cerrahi uygulandı. Patolojik değerlendirme sonucu brankiyal yarık kistiyle uyumlu idi. Ameliyat sonrasında herhangi bir sorunu olmayan hastanın 12 aylık izleminde nüks görülmedi
Anahtar Kelimeler:
Brankiyal bölge/anormallik, brankiyom/cerrahi, kist, bafl-boyun neoplazileri/tanı/cerrahi
Bilateral second branchial cleft cysts without any associated congenital abnormality: a case report
A thirty-year-old male patient with bilateral second branchial cleft cysts is presented, in whom no association was found with any other congenital abnormality, in particular branchio-oto-renal syndrome. He had a complaint of painless swelling on both sides of the neck. Physical and radiological examinations showed bilateral branchial cleft cysts. A coexisting congenital syndrome could not be documented despite investiga- tions including physical examination, blood biochem- istry and complete blood count, audiologic tests, temporal bone computed tomography, and abdominal and renal ultrasonography. Surgical excision was performed on both sides with a three-week interval.Histopathologic examination confirmed the diagnosis.The postoperative period was uneventful, with no recurrence during a follow-up period of 12 months.
Keywords:
Branchial region/abnormalities, branchioma/ surgery, cysts, head and neck neoplasms/diagnosis/surgery,
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- Telander RL, Deane SA. Thyroglossal and branchial cleft cysts and sinuses. Surg Clin North Am 1977;57: 779-91.
- Kenealy JF, Torsiglieri AJ Jr, Tom LW. Branchial cleft anomalies: a five-year retrospective review. Trans Pa Acad Ophthalmol Otolaryngol 1990;42:1022-5.
- Partheniadis E. Congenital bilateral complete branchial fistula with familial occurrence. Z Laryngol Rhinol Otol 1967;46:185-90. [Abstract]
- Donegan JO. Congenital neck masses. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Schuller DE, editors. Otolaryngology-head and neck surgery. 2nd ed. St. Louis: Mosby Year Book; 1993. p. 1554-9.
- Desnos J, Larget-Piet L, Riberi P, Cleirens P, Beucher A. B r a n c h i o - o t o - renal malformation syndrome. Ann Otolaryngol Chir Cervicofac 1979;96:849-61. [Abstract]
- Gutierrez C, Bardaji C, Bento L, Martinez MA, Conde J. Branchio-oto-renal syndrome: incidence in thre e generations of a family. J Pediatr Surg 1993;28:1527-9.
- Davies J, Duckert L. Embryology and anatomy of the head, neck, face, palate, nose and paranasal sinuses. In: Paparella MM, Shumrick DA, Gluckman JL, M e y e rh o ff WL, editors. Otolaryngology. 3rd ed. Philadelphia: W. B. Saunders; 1991. p. 59-105.
- Choi SS, Zalzal GH. Branchial anomalies: a review of 52 cases. Laryngoscope 1995;105(9 Pt 1):909-13.
- Fraser FC, Ling D, Clogg D, Nogrady B. Genetic aspects of the BOR syndrome-branchial fistulas, ear pits, hearing loss, and renal anomalies. Am J Med Genet 1978;2:241-52.
- Fraser FC, Sproule JR, Halal F. Frequency of the bran- chio-oto-renal (BOR) syndrome in children with pro- found hearing loss. Am J Med Genet 1980;7:341-9.
- Coppens F, Peene P, Lemahieu SF. Diagnosis and dif- ferential diagnosis of branchial cleft cysts by CT scan. J Belge Radiol 1990;73:189-96.
- ISSN: 2602-4837
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 1991
- Yayıncı: İstanbul Üniversitesi