Fourth branchial cyst presenting with neonatal respiratory distress

Tzer Zen Hwang, Yuh Jyh Lin, Sen Tien Tsai

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12 Citations (Scopus)

Abstract

Fourth branchial cysts are quite rare. A neonate with a left lateral neck mass and respiratory distress was found to have a fourth branchial cyst, which was diagnosed with computed tomography and endoscopy. The characteristic computed tomography findings included an air-containing neck cyst, which was located at the anteromedial site of the common carotid artery with mediastinal extension. Endoscopic examination revealed an internal opening at the apex of the pyriform sinus, communicating with the cyst. Total excision of the cyst was performed, and the specimen, which showed ciliated columnar epithelium with a subepithelial lymphoid infiltrate, thyroid follicles, and thymic tissue, histologically confirmed the diagnosis.

Original languageEnglish
Pages (from-to)431-434
Number of pages4
JournalAnnals of Otology, Rhinology and Laryngology
Volume109
Issue number4
DOIs
Publication statusPublished - 2000 Jan 1

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All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

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