Presentation of first branchial cleft anomalies: the Sheffield experience
Presentation of first branchial cleft anomalies: the Sheffield experience
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DOI：
10.1017/s00222151.06004373
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发表时间：
2007-05-01
影响因子：
1.7
通讯作者：
Bull, P. D.
中科院分区：
文献类型：
--
作者：
Del Pero, M. Martinez;Majumdar, S.;Bull, P. D.
第一鳃裂的异常是罕见的。他们可能在颈部、腮腺区、外耳道或耳周区域出现皮肤缺损，或在这些部位出现炎症或感染性病变。一个回顾性的病例笔记审查的病人治疗的资深作者提出。该组包括18名患者，是迄今为止英国发表的最大的系列研究。11名患者（65%）在转诊前接受了不完全手术。超过一半的患者在临床上有明显的外耳道病变。神经束与面神经的关系是可变的，在15例手术中被确定。这些发现与先前发表的一系列研究结果一致。临床医生在评估颈部和腮腺区感染病变的患者时应牢记这一诊断。外科医生应熟悉腮腺手术，在适当的情况下对儿童进行腮腺手术，并在对这些病变进行手术治疗之前准备好暴露面神经。
Abnormalities of the first branchial cleft are rare. They may present with a cutaneous defect in the neck, parotid region, external auditory meatus or peri-auricular area, or with inflammatory or infective lesions at these sites.A retrospective case note review of the patients treated by the senior author is presented. This group consisted of 18 patients and represents the largest published UK series to date. Eleven patients (65 per cent) had undergone incomplete surgery prior to referral.Over half the patients had a clinically apparent lesion in relation to the external auditory meatus. There was a variable relationship between the tract and the facial nerve, which was identified at surgery in 15 cases.These findings are consistent with those of previously published series. Clinicians should keep this diagnosis in mind when assessing patients with infected lesions in the neck and parotid area. Surgeons should be familiar with parotid surgery, in children where appropriate, and be prepared to expose the facial nerve before embarking on the surgical management of these lesions.