branchial anomalies Latest Topics

6/4/2025

Sun, 06 Apr 2025 13:38:47 +0000

[size=20px]A 1-year old girl presents with intermittent drainage near the angle of the mandible. She also has a history of intermittent otorrhea. On exam, there is a small opening near the angle of her mandible and mucus expressed with manual pressure. The rest of her exam is normal. What is the best next step in the management of this patient?

A Oral antibiotics

B Excision of the entire lesion

C Aspiration of the fluid

D Incision and drainage

E IV antibiotics

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cbclips Episode 47

Mon, 05 Feb 2024 03:13:32 +0000

[size=20px]A healthy 9-year old boy presents with a 5-day history of increasing right neck swelling and pain unresponsive to oral antibiotics. He is febrile with a very tender erythematous right neck fullness. He has difficulty with neck motion. Ultrasound shows a complex mass in close proximity to the right thyroid.

What is your diagnosis and management?[/size]

Regarding management of third and fourth branchial anomalies

Mon, 03 Jan 2022 17:14:49 +0000

branchial cyst

Fri, 09 Oct 2020 03:49:30 +0000

Any one want a high quality PDF of this chart, post in this thread and use a personalized picture as an avatar, I will send it to you in a private message

Edit: available without restrictions

Regarding management of first branchial anomalies

Mon, 03 Jan 2022 16:14:43 +0000

31/7/2022

Sun, 31 Jul 2022 09:44:59 +0000

[size=20px]A seven-year old female presents with a recurrent left lower anterolateral neck infection, previously treated with drainage and antibiotics. On exam, there is a small scar from the drainage but no other skin openings. A computerized tomography (CT) scan suggests an abscess in the left thyroid gland. An esophagram shows a fistula tract to the pyriform sinus. The best next step in management of this patient with recurrent neck infections is

A a 2-week course of clarithromycin.

B prolonged course of intravenous antibiotics.

C endoscopic injection of fibrin glue into the fistula tract.

D left neck exploration, fistula resection and partial thyroidectomy.

E small lower neck incision with step ladder fistulectomy.[/size]

Bilateral Branchial fistula excision

Fri, 22 Oct 2021 03:57:35 +0000

see video link in second post

patient with recurrent neck infections

Wed, 16 Dec 2020 04:10:35 +0000

[size=20px]A seven-year old female is referred to you with a recurrent lower left anterolateral neck infection previously treated with drainage and a course of antibiotics. Other than the small drainage site which is now closed there are no other skin openings. A computerized tomography (CT) scan suggests an abscess in the left upper pole of the thyroid gland. An esophagram shows a fistula tract to the pyriform sinus.

The next best step in management of this patient with recurrent neck infections is

A endoscopic injection of fibrin glue into the fistula tract.

B left neck exploration, fistula resection and partial thyroidectomy.

C small lower neck incision with step ladder fistulectomy.

D prolonged course of intravenous antibiotics.

E chemical cauterization.[/size]

Minimally invasive management of an enlarging fourth branchial remnant

Tue, 01 Dec 2020 10:47:55 +0000

see in next post

in TTT of infected branchial cyst

Sat, 03 Oct 2020 08:15:31 +0000

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