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Case report
First branchial cleft anomaly extending to parapharyngeal space
  1. K Devaraja1,
  2. Vishwapriya Mahadev Godkhindi2 and
  3. Ajay M Bhandarkar1
  1. 1Otorhinolaryngology and Head and Neck Surgery, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka - 576104, India
  2. 2Pathology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka - 576104, India
  1. Correspondence to Dr K Devaraja; deardrdr{at}gmail.com

Abstract

First branchial cleft anomalies are quite rare, and the majority of them are found in and around the ear canal, mostly superficial to the facial nerve. Very rarely, the anomalous tract of the first branchial cleft can go deeper to the facial nerve, necessitating a meticulous and extensive surgery. A 21-year-old student presented with slowly increasing cystic swelling in the infra-auricular region. Findings of the magnetic resonance imaging were consistent with the first branchial cleft cyst, which also exhibited a deeper extent of the lesion into the parapharyngeal space. The entire tract was excised along with the superficial parotidectomy by an open approach. In addition to illustrating the presentation and management of this peculiar case, the present report also reviews the latest literature around their management.

  • ear
  • nose and throat/otolaryngology
  • congenital disorders
  • pathology
  • head and neck surgery
  • paediatric surgery

http://dx.doi.org/10.1136/bcr-2021-244842

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    Footnotes

    • Twitter @docajay

    • Contributors KD was involved in patient care, data collection, manuscript writing, literature review, manuscript editing and submission. VMG was involved in patient care, data collection, manuscript review, manuscript editing and submission. AMB was involved in data collection, manuscript writing, manuscript editing and submission.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer-reviewed.