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Year : 2017  |  Volume : 19  |  Issue : 1  |  Page : 17-19

Recurrence of branchial anomalies after surgical excision: Rate and associated factors

1 Otolaryngology, Head & Neck Department, King Abdulaziz University, Jeddah, Saudi Arabia
2 Otolaryngology, Head & Neck Department, King Abdullah Medical City, Makkah, Saudi Arabia
3 Head of ORL Department, King Abdullah Medical City, National Guard, Jeddah, Saudi Arabia

Correspondence Address:
MD Ibrahim S Alnoury
Consultant ORL Head and neck, Paediatrics ENT, King AbdulAziz University Hospital, Jeddah
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.275308

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Background: Branchial anomalies are uncommon of embryonic development that is commonly discovered by otolaryngologists. The recognition of the development of branchial apparatus and their anomalies is important during surgery. Post-operative recurrence is a rare, however possible complication. Objectives: To investigate the post-surgical recurrence among patients who underwent surgical excision of the branchial cleft cysts and its influencing factors. Subjects and methods: This is a retrospective study of twenty cases of branchial anomalies presented to the department of Otolaryngology, Head and Neck Surgery, King Abdul-Aziz Medical City, National Guard, Jeddah, Saudi Arabia, over a period of 12 years from October, 2003 to October, 2015. Patient’s gender, type of lesion (cysts and fistulae), side of lesion (right and left), surgeon (ENT versus non-ENT), FNA histopathological and radiological findings as well as operative complications were noted from the case records. Primary diagnosis was done through FNAC and radiology whereas histopathological examination as a final diagnosis was done and available for all included cases. All patients were operated upon through surgical excision. Results: Twenty patients were included in the study; 13 males and 7 females. Recurrence was reported in only one case (5%). Histopathologically, all cases were benign looking cells. The recurrent lesion was found in a male patient, on right-side, the lesion was fistulous in nature, surgery done by non-ENT surgeon; Fine-needle aspiration cytology (FNAC) was not done, no radiological finding, and with history of postoperative complications. No statistically significant association was found between recurrence of the lesion and all the studied factors, p>0.05 Conclusion: Recurrence of branchial anomalies after surgical excision is rare. However, further multi-centric research is recommended to identify the possible predictors for recurrence.

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