title: Bilateral pharyngeal apparatus (branchial) sinuses in a set of identical twins--a case report.
abstract: Defective closure of the pharyngeal apparatus during the second week of gestation results in pharyngeal arch anomalies. Although pharyngeal apparatus (branchial) anomalies are frequently seen, bilateral cases are rare (only 2% to 3%). Bilaterality has a familial predisposition. Our patients, a set of identical twins, presented with bilateral discharging cervical sinuses noticed at 3 months of age. Physical examination was suggestive of bilateral pharyngeal apparatus (branchial) sinuses. Both patients were managed with surgical excision in the same operative sitting. To the best of our knowledge, ours is the first case of bilateral pharyngeal apparatus (branchial) sinuses in a set of identical twins.
authors.affiliation: MCh Pediatric Surgery, Department of Pediatric Surgery, LTMMC & LTMGH Sion, Mumbai, India. krishnakesan@rediffmail.com
authors.forename: Krushnakumar
authors.initials: K
authors.lastname: Kesan
authors.forename: Rahul Kumar
authors.initials: RK
authors.lastname: Gupta
authors.forename: Paras
authors.initials: P
authors.lastname: Kothari
authors.forename: Abhay
authors.initials: A
authors.lastname: Gupta
mesh_terms: D001934:Branchial Region / Q000002:abnormalities* / Q000601:surgery; D004200:Diseases in Twins / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D014430:Twins, Monozygotic