A clinical study on branchial arch anomalies
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Objectives: To analyse retrospectively the data of our patients, who were diagnosed and treated for branchial anomalies in our department. Materials and Methods: Retrospective descriptive study over a period of 1 year 6 months (April 2017 and Sept 2018), Total of patients included into this study were 25 who were assessed demographically in the department of ENT , Burdwan Medical College, Burdwan. Results:. Among all the branchial cleft anomalies, we encountered 3(12%) patients as first branchial anomalies, 20(80%) patients as second branchial anomalies and 2(8%) patients as third branchial anomalies. In 3 cases of first branchial anomalies, F:M=2:1,Right:Left=2:1, all 3 were the type II first branchial anomalies.In 20 cases of second branchial anomalies,12 (60%) patients had branchial cyst, 6 (30%) patients had branchial sinuses and 2(10%) patients had branchial fistula. Thirteen(65%) of the 20 patients were right sided and 7(35%) were left sided. F:M=1:1 ; 12 (60%) patients were diagnosed and treated within the first age decade, 3 (15%) within the second age decade, 3 (15%) within the third age decade and 2 (10%) in the fourth age decade. Histological examination of the lesions after excision established the diagnosis in all the cases. In 2 cases of third and fourth branchial anomalies, Left sided Sinus tract found, both patients were Male. Conclusion: Second branchial arch anomalies are the most common, accounting for 80% of all branchial anomalies. Branchial cyst are more frequently than sinuses and fistulae, no gender predilection but tend to occur more often on the right and majority of patients (approximately 60%) were diagnosed and treated during their childhood among second branchial anomalies. Among first arch anomalies, they are usually right sided with a female predominance and typeII lesion are more common. Among third and fourth arch anomalies, they are usually left sided with a male predominance. Treatment for these lesions is complete surgical excision for prevent recurrences.
Authors and Affiliations
Ashim Sarkar1 ,, Ritam Ray2
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