Two Atypical Cases of First Branchial Cleft Anomalies

Korean Journal of Head & Neck Oncology 2017;33(1):31-34.
Published online May 30, 2017.

Su Jong Kim;Tae Hun Kim;Seung Hwan Bang;Jeong Soo Woo

비전형적인 형태의 제 1 새성기형 환자 2예

김수종;김태훈;방승환;우정수

Abstract

First branchial cleft anomaly is a very rare disease and exhibits various clinical presentations. Therefore, the diagnosis of first branchial cleft anomaly may be difficult; the condition is often misdiagnosed and mismanaged. Accurate diagnosis is very important, because if not diagnosed correctly, patients with first branchial cleft anomaly would be treated with local incision and drainage repeatedly. We report two cases of first branchial cleft anomaly. The first patient visited for recurrent swell and discharge in the infra-auricular area with a history of previous incision and drainage. The other patient showed a cystic mass in the infra-auricular area and all of them were misdiagnosed initially by their treating specialists elsewhere. The objective of this study is to share our experiences of first branchial cleft anomaly, and emphasize its various clinical patterns and the significance of accurate diagnosis.

Key Words: Branchial cleft anomalies, Cysts, Fistula, Abscess