全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Application of Imaging Modalities in the Diagnosis of Branchial Anomalies

DOI: 10.4236/jbm.2026.141002, PP. 15-27

Keywords: Branchial Anomalies, Ultrasound, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Fiberoptic Laryngoscopy

Full-Text   Cite this paper   Add to My Lib

Abstract:

BA (Branchial anomalies) are congenital malformations resulting from the incomplete regression of branchial apparatus structures during embryonic development. These lesions often exhibit complex anatomy and may adhere closely to critical vascular and neural structures in the neck. Given the rarity of these conditions and the consequent potential for limited clinical familiarity, selecting an appropriate imaging modality is crucial. Accurate identification of the internal opening, delineation of the fistula tract, and provision of reliable imaging evidence are essential to guide surgical planning, achieve complete excision of the pathological tissue, and prevent recurrence. This article reviews the current progress in various imaging techniques applied to the diagnosis of BA.

References

[1]  Waldhausen, J.H.T. (2006) Branchial Cleft and Arch Anomalies in Children. Seminars in Pediatric Surgery, 15, 64-69.
https://doi.org/10.1053/j.sempedsurg.2006.02.002
[2]  Bagchi, A., Hira, P., Mittal, K., Priyamvara, A. and Dey, A.K. (2018) Branchial Cleft Cysts: A Pictorial Review. Polish Journal of Radiology, 83, 204-209.
https://doi.org/10.5114/pjr.2018.76278
[3]  Adams, A., Mankad, K., Offiah, C. and Childs, L. (2016) Branchial Cleft Anomalies: A Pictorial Review of Embryological Development and Spectrum of Imaging Findings. Insights into Imaging, 7, 69-76.
https://doi.org/10.1007/s13244-015-0454-5
[4]  Mehmi, N., Kumar, R., Sagar, P., Singh, C.A., Kumar, R., Thakar, A., et al. (2019) Importance and Impact of Appropriate Radiology in the Management of Branchial Cleft Anomalies. Indian Journal of Otolaryngology and Head & Neck Surgery, 71, 953-959.
https://doi.org/10.1007/s12070-019-01634-w
[5]  Acierno, S.P. and Waldhausen, J.H.T. (2007) Congenital Cervical Cysts, Sinuses and Fistulae. Otolaryngologic Clinics of North America, 40, 161-176.
https://doi.org/10.1016/j.otc.2006.10.009
[6]  Thorpe, R.K., Policeni, B., Eigsti, R., Zhan, X. and Hoffman, H.T. (2020) CT Fistulography and Histopathologic Correlates for Surgical Treatment of Branchial Cleft Sinuses. Ear, Nose & Throat Journal, 100, 976S-978S.
https://doi.org/10.1177/0145561320933015
[7]  Li, L., Zhao, D., Yao, T., Xiang, Y., Liu, H., Ma, Q., et al. (2021) Imaging Findings in Neonates with Congenital Pyriform Sinus Fistula: A Retrospective Study of 45 Cases. Frontiers in Pediatrics, 9, Article ID: 721128.
https://doi.org/10.3389/fped.2021.721128
[8]  Kajosaari, L., Mäkitie, A., Salminen, P. and Klockars, T. (2014) Second Branchial Cleft Fistulae: Patient Characteristics and Surgical Outcome. International Journal of Pediatric Otorhinolaryngology, 78, 1503-1507.
https://doi.org/10.1016/j.ijporl.2014.06.020
[9]  Papadogeorgakis, N., Petsinis, V., Parara, E., Papaspyrou, K., Goutzanis, L. and Alexandridis, C. (2009) Branchial Cleft Cysts in Adults. Diagnostic Procedures and Treatment in a Series of 18 Cases. Oral and Maxillofacial Surgery, 13, 79-85.
https://doi.org/10.1007/s10006-009-0156-6
[10]  Gold, B. (1980) Second Branchial Cleft Cyst and Fistula. American Journal of Roentgenology, 134, 1067-1069.
https://doi.org/10.2214/ajr.134.5.1067
[11]  Sahu, S., Kumar, A. and Ramakrishnan, T. (2011) Branchial Fistula: An Imaging Perspective. Medical Journal Armed Forces India, 67, 262-264.
https://doi.org/10.1016/s0377-1237(11)60056-7
[12]  Wang, G.F. and Wang, T.L. (2018) Analysis of Misdiagnosis Causes in 38 Cases of Branchial Cleft Cysts and Fistulas. China Medical Digest (Otorhinolaryngology), No. 4, 291-295.
[13]  Lu, Y.Y., Zhang, Y.J., Zhang, H.D., et al. (2021) Fourth Branchial Cleft Anomaly: A Case Report and Literature Review. Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, 35, Article 648.
[14]  Fan, J.Y., Li, X.Y., Lu, J.X., et al. (2014) High-Frequency Ultrasonography in the Diagnosis of Branchial Cleft Cysts and Fistulas. Chinese Journal of Birth Health & Heredity, No. 4, 106-107.
[15]  Ang, A.H., Pang, K.P. and Tan, L.K. (2001) Complete Branchial Fistula: Case Report and Review of the Literature. Annals of Otology, Rhinology & Laryngology, 110, 1077-1079.
https://doi.org/10.1177/000348940111001116
[16]  Shrime, M., Kacker, A., Bent, J. and Ward, R.F. (2003) Fourth Branchial Complex Anomalies: A Case Series. International Journal of Pediatric Otorhinolaryngology, 67, 1227-1233.
https://doi.org/10.1016/j.ijporl.2003.07.015
[17]  Lucaya, J., Berdon, W.E., Enriquez, G., Regas, J. and Carreno, J.C. (1990) Congenital Pyriform Sinus Fistula: A Cause of Acute Left-Sided Suppurative Throiditis and Neck Abscess in Children. Pediatric Radiology, 21, 27-29.
https://doi.org/10.1007/bf02010809
[18]  Jaka, R.C. and Singh, G. (2007) Complete Congenital Third Branchial Fistula on Right Side. Otolaryngology—Head and Neck Surgery, 137, 518-519.
https://doi.org/10.1016/j.otohns.2007.03.030
[19]  Glosser, J.W., Pires, C.A.S. and Feinberg, S.E. (2003) Branchial Cleft or Cervical Lymphoepithelial Cysts: Etiology and Management. The Journal of the American Dental Association, 134, 81-86.
https://doi.org/10.14219/jada.archive.2003.0020
[20]  Bill, A.H. and Vadheim, J.L. (1955) Cysts Sinuses and Fistulas of the Neck Arising from the First and Second Branchial Clefts. Annals of Surgery, 142, 904-908.
https://doi.org/10.1097/00000658-195511000-00021
[21]  Agaton-Bonilla, F.C. and Gay-Escoda, C. (1996) Diagnosis and Treatment of Branchial Cleft Cysts and Fistulae. A Retrospective Study of 183 Patients. International Journal of Oral and Maxillofacial Surgery, 25, 449-452.
https://doi.org/10.1016/s0901-5027(96)80081-6
[22]  Keogh, I.J., Khoo, S.G., Waheed, K., et al. (2007) Complete Branchial Cleft Fistula: Diagnosis and Surgical Management. Revue de Laryngologie Otologie Rhinologie, 128, 73-76.
[23]  Bajaj, Y., Ifeacho, S., Tweedie, D., Jephson, C.G., Albert, D.M., Cochrane, L.A., et al. (2011) Branchial Anomalies in Children. International Journal of Pediatric Otorhinolaryngology, 75, 1020-1023.
https://doi.org/10.1016/j.ijporl.2011.05.008
[24]  Li, W., Zhao, L., Xu, H. and Li, X. (2017) First Branchial Cleft Anomalies in Children: Experience with 30 Cases. Experimental and Therapeutic Medicine, 14, 333-337.
https://doi.org/10.3892/etm.2017.4511
[25]  Zaifullah, S., Yunus, M.R.M. and See, G.B. (2012) Diagnosis and Treatment of Branchial Cleft Anomalies in UKMMC: A 10-Year Retrospective Study. European Archives of Oto-Rhino-Laryngology, 270, 1501-1506.
https://doi.org/10.1007/s00405-012-2200-7
[26]  Sun, Z., Fu, K., Zhang, Z., Zhao, Y. and Ma, X. (2012) Multidetector Computerized Tomographic Fistulography in the Evaluation of Congenital Branchial Cleft Fistulae and Sinuses. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 113, 688-694.
https://doi.org/10.1016/j.oooo.2011.08.015
[27]  Liang, Y., Yang, Y.S. and Li, J. (2013) Clinicopathological Analysis of 199 Cases of Branchial Cleft Cysts and Fistulas. Journal of Oral and Maxillofacial Surgery, No. 1, 37-41.
[28]  Choi, S.S. and Zalzal, G.H. (1995) Branchial Anomalies: A Review of 52 Cases. The Laryngoscope, 105, 909-913.
https://doi.org/10.1288/00005537-199509000-00007
[29]  Wang, Y.Y., Zhang, L.Q., Zhou, H., et al. (2020) Clinical Analysis of 74 Cases of Branchial Cleft Cysts and Fistulas. Journal of Otolaryngology and Ophthalmology of Shan-Dong University, 34, 111-116.
[30]  Black, C.J., O’Hara, J.T., Berry, J. and Robson, A.K. (2009) Magnetic Resonance Imaging of Branchial Cleft Abnormalities: Illustrated Cases and Literature Review. The Journal of Laryngology & Otology, 124, 213-215.
https://doi.org/10.1017/s0022215109990995
[31]  Zhu, G.C. and Xiao, D.J. (2017) Transoral Excision of Partial Fistula Wall for the Treatment of Incomplete Second Branchial Cleft Fistula: A Case Report. Journal of Clinical Oto-Rhinolaryngology Head and Neck Surgery, 31, 1298-1299.
[32]  Mailleux, P. and Lismonde, Y. (2020) Adult Presentation of a Complete Second Branchial Cleft Fistula Diagnosed by US and CT, Autosomal Dominant Transmission in Three Members of the Family: Case Report. Open Journal of Medical Imaging, 10, 125-131.
https://doi.org/10.4236/ojmi.2020.102012
[33]  Wen, J., Pan, M., Hu, G., Zeng, Q. and Wang, Z. (2025) Minimally Invasive Endoscopic Resection and Suture Ligation for Third Branchial Cleft Fistulas: Low Recurrence and Reduced Trauma. Head & Neck, 47, 2448-2453.
https://doi.org/10.1002/hed.28165
[34]  Chen, W., Zhou, Y., Xu, M., Xu, R., Wang, Q., Xu, H., et al. (2023) Congenital Second Branchial Cleft Anomalies in Children: A Report of 52 Surgical Cases, with Emphasis on Characteristic CT Findings. Frontiers in Pediatrics, 11, Article ID: 1088234.
https://doi.org/10.3389/fped.2023.1088234
[35]  Rink, M., Jung, E., Bohr, C. and Künzel, J. (2023) Use of Contrast-Enhanced Ultrasound in Preoperative Planning before Resection of a Second Branchial Cleft Fistula. Clinical Hemorheology and Microcirculation, 85, 83-86.
https://doi.org/10.3233/ch-231862
[36]  Chew, S.S.B., Yang, J.L., Newstead, G.L. and Douglas, P.R. (2003) Anal Fistula: Levovist®-Enhanced Endoanal Ultrasound. Diseases of the Colon & Rectum, 46, 377-384.
https://doi.org/10.1007/s10350-004-6559-4
[37]  Ripollés, T., Martínez-Pérez, M.J., Blanc, E., Delgado, F., Vizuete, J., Paredes, J.M., et al. (2011) Contrast-Enhanced Ultrasound (CEUS) in Crohn’s Disease: Technique, Image Interpretation and Clinical Applications. Insights into Imaging, 2, 639-652.
https://doi.org/10.1007/s13244-011-0124-1
[38]  Zhou, L., Chen, S., Chen, H., Huang, Y., Qiu, Y., Zhong, W., et al. (2018) Percutaneous US-Guided Cholecystocholangiography with Microbubbles for Assessment of Infants with US Findings Equivocal for Biliary Atresia and Gallbladder Longer than 1.5 Cm: A Pilot Study. Radiology, 286, 1033-1039.
https://doi.org/10.1148/radiol.2017170173
[39]  Zhang, P. and Tian, X. (2015) Recurrent Neck Lesions Secondary to Pyriform Sinus Fistula. European Archives of Oto-Rhino-Laryngology, 273, 735-739.
https://doi.org/10.1007/s00405-015-3572-2
[40]  Zhou, Y., Chen, W., Xu, R., et al. (2022) Study on CT Features of Congenital Branchial Cleft Anomaly in Children. Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, 36, 441-447.
[41]  Li, Y., Lyu, K., Wen, Y., Xu, Y., Wei, F., Tang, H., et al. (2019) Third or Fourth Branchial Pouch Sinus Lesions: A Case Series and Management Algorithm. Journal of Otolaryngology—Head & Neck Surgery, 48, Article No. 61.
https://doi.org/10.1186/s40463-019-0371-6
[42]  Ryu, C.W., Lee, J.H., Lee, H.K., Lee, D.H., Choi, C.G. and Kim, S.J. (2006) Clinical Usefulness of Multidetector CT Fistulography of Branchial Cleft Fistula. Clinical Imaging, 30, 339-342.
https://doi.org/10.1016/j.clinimag.2006.05.001
[43]  Monga, U., Bist, S., Bharti, B., Agarwal, V. and Purohit, K. (2016) Complete Second Branchial Fistula: Diagnostic Imaging and Surgical Aspects. An International Journal of Otorhinolaryngology Clinics, 8, 6-10.
https://doi.org/10.5005/jp-journals-10003-1215
[44]  Whetstone, J., Branstetter, B.F., Hirsch, B.E., et al. (2006) Fluoroscopic and CT Fistulography of the First Branchial Cleft. American Journal of Neuroradiology, 27, 1817-1819.
[45]  Magdy, E.A., Hamza, A., Youssef, A. and Yoneis, A. (2020) Second Branchial Cleft Fistula/Sinus Tract Endoscopy: A Novel Intraoperative Technique Assisting Complete Surgical Resection. European Archives of Oto-Rhino-Laryngology, 278, 833-838.
https://doi.org/10.1007/s00405-020-06158-6
[46]  Coste, A.H., Lofgren, D.H., Shermetaro, C., et al. (2025) Branchial Cleft Cyst. StatPearls Publishing.
[47]  Ahuja, A.T., King, A.D., Metreweli, C., et al. (2000) Second Branchial Cleft Cysts: Variability of Sonographic Appearances in Adult Cases. American Journal of Neuroradiology, 21, 315-319.
[48]  Li, W., Dong, Y., Zhang, A., Tian, J., Lu, C., Jeannon, J.P., et al. (2020) Surgical Treatment of Fourth Branchial Apparatus Anomalies: A Case Series Study. Journal of Otolaryngology—Head & Neck Surgery, 49, Article No. 79.
https://doi.org/10.1186/s40463-020-00477-8
[49]  Liu, J. and Yang, X. (2020) Application of Multi-Slice Spiral CT in the Diagnosis of Children’s Parotid Cleft Deformity. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 34, 146-149.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133