The clinical diagnosis and treatment of third branchial cleft anomalies: a report of 21 patients
Wang Jun, Liu Cui, Gao Xiaoli.
Department of Otolaryngology Head and Neck Surgery, Xinxiang Medical University Affiliated Pingmei Shenma Medical Group General Hospital, Pingdingshan, Henan 467001, China
Abstract：Objective To investigate the clinical diagnosis and treatment of deformity of the third branchial cleft, summarize the experience of diagnosis and treatment.Methods Retrospective analysis the clinical data of 21 patients of the third branchial cleft anomaliesfrom January 2007 to July 2014 in Pingmei Shenma Medical Group General Hospital Affiliated to Xinxiang Medical University for treatment of Otolaryngology Head and Neck Surgery. The patients included 16 males, 5 females, aged 11-71 years old, average age was 42.6 years old. In 21 patients, primary surgery of congenital branchial fistula in 12 patients, recurrent branchial fistula in 6 patients, 3 patients of branchial cleft cyst. Preoperative color Doppler ultrasound, radiology examination, clear abnormalities range and anatomy, intraoperative Meilan or lumbar anesthesia catheter guided, anatomy of recurrent laryngeal nerve and fistula resection through the thyroid gland, complete removal of lesions and repair the piriform fossa.Results All the patients discharged 3 days in the removal of nasal feeding tube, the wound healed well. The 18 patients were followed up for 12-84 months, average 36 months, 3 patients were followed up for 3-10 months, average 7 months; no recurrence in all cases after operation, no case due to the injury of recurrent laryngeal nerve and parathyroid leading to postoperative hoarseness, hypocalcemia etc.Conclusions The third branchial cleft is complex in anatomical structure, check the necessary preoperative, intraoperative anatomical larynx, thyroid and laryngeal nerve is the key to deal with this kind of disease.
王军,刘翠,高晓丽. 第三鳃裂畸形21例外科诊治分析[J]. 中华解剖与临床杂志, 2015, 20(4): 344-346.
Wang Jun, Liu Cui, Gao Xiaoli.. The clinical diagnosis and treatment of third branchial cleft anomalies: a report of 21 patients. Chinese Journal of Anatomy and Clinics, 2015, 20(4): 344-346.
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2015, Vol. 20 
