A branchial cyst of the pyriform fossa transoral laser resection: a case report.
Pyriform sinus malformations represent rare third and fourth branchial anomalies. Fistulae at the latter site were initially described and make up less than 1 % of all brachial anomalies. They may be discovered incidentally, or may present as a neck mass with recurrent infection, dysphagia, or airway compromise, and can be an unusual cause of dysphonia in infant and children. Here, we present a case of third branchial cyst located in pharyngeal wall of the left pyriform sinus which presented with dysphonia since birth in a 6-year-old girl. Transoral CO2 laser excision was carried out successfully with no communicating tract. The patient's dysphonia showed progressive regression at 1-year follow-up. Third branchial cyst in the left pyriform sinus (Bailey's type IV) is an unusual cause of dysphonia in pediatric. Our present case report is the first brachial cyst to be reported in the pyriform fossa and the second branchial anomalies to be excised transorally with CO2 laser.
Otorhinolaryngology-Head and Neck Surgery Department, University of Alexandria, Alexandria, Egypt. hisham_fattah@yahoo.com.
Hesham Mostafa
HM
Abdelfattah
Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Sohag University, Nasr City, Eastern Avenue, University Street, Sohag, Egypt. dr.mohammedelrabie@gmail.com.
Mohammed Elrabie
ME
Ahmed
Phoniatrics, Department of Otorhinolaryngology-Head and Neck Surgery, Sohag University, Sohag, Egypt. daimahmoud@yahoo.com.
Mona El-Rabie
Mel-R
Ahmed
Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Sohag University, Nasr City, Eastern Avenue, University Street, Sohag, Egypt. Mabdelkader1964@gmail.com.
Mohamed Abd El-Kader
MA
Ahmed
Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Sohag University, Nasr City, Eastern Avenue, University Street, Sohag, Egypt. abdelmateen2004@yahoo.com.
Abd-Elmateen
AE
Moussa
D001934:Branchial Region / Q000002:abnormalities; D001935:Branchioma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006685:Hoarseness / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D056144:Pyriform Sinus / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed
Branchial; Cyst; Laser; Pyriform fossa; Transoral