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A branchial cyst of the pyriform fossa transoral laser resection: a case report

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Abstract

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.

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Authors and Affiliations

  1. Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Sohag University, Nasr City, Eastern Avenue, University Street, Sohag, Egypt

    Mohammed Elrabie Ahmed, Mohamed Abd El-Kader Ahmed & Abd-Elmateen Moussa

  2. Otorhinolaryngology-Head and Neck Surgery Department, University of Alexandria, Alexandria, Egypt

    Hesham Mostafa Abdelfattah

  3. Phoniatrics, Department of Otorhinolaryngology-Head and Neck Surgery, Sohag University, Sohag, Egypt

    Mona El-Rabie Ahmed

Authors
  1. Hesham Mostafa Abdelfattah
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  2. Mohammed Elrabie Ahmed
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  3. Mona El-Rabie Ahmed
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  4. Mohamed Abd El-Kader Ahmed
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  5. Abd-Elmateen Moussa
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Correspondence to Mohammed Elrabie Ahmed.

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Abdelfattah, H.M., Ahmed, M.E., El-Rabie Ahmed, M. et al. A branchial cyst of the pyriform fossa transoral laser resection: a case report. Eur Arch Otorhinolaryngol 273, 525–528 (2016). https://doi.org/10.1007/s00405-015-3586-9

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  • DOI: https://doi.org/10.1007/s00405-015-3586-9

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