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Tesi etd-06032015-110242


Thesis type
Tesi di laurea specialistica LC6
Author
PODZEMNY, VIOLANDA VLASTA
URN
etd-06032015-110242
Title
Branchial cleft and pouch anomalies in children. a report of 50 surgical cases
Struttura
RICERCA TRASLAZIONALE E DELLE NUOVE TECNOLOGIE IN MEDICINA E CHIRURGIA
Corso di studi
MEDICINA E CHIRURGIA
Commissione
relatore Prof. Spinelli, Claudio
Parole chiave
  • fistole branchiali
  • cisti branchiali
  • chirurgia
  • malformazioni collo
Data inizio appello
23/06/2015;
Consultabilità
completa
Riassunto analitico
Purpose: The aim of this study is to present the clinical features, diagnostic methods and surgical treatment of branchial cleft anomalies in children, based on a series of 50 patients.<br>Materials and methods: a retrospective study was conducted on 50 pediatric patients who underwent surgery for branchial cleft anomalies in the period from June 2005 to June 2014 at two university hospitals in Italy.<br>Results: Twenty-seven patients (54%) had a second branchial cleft fistula, 11 (22%) had a second branchial cleft cyst, and 1 (2%) had both a cyst and sinus of the second branchial cleft.<br>Four patients (8%) had a first branchial cleft cyst whereas 4 (8%) had a first branchial cleft sinus and 2 (45) had a first branchial cleft fistula.<br>One patient (2%) had a pyriform sinus fistula (a third branchial cleft anomaly).<br>None of the patients had anomalies of the fourth branchial cleft.<br>All patients underwent surgical treatment and the lesions were removed by excision or fistulectomy.<br>No postsurgical complications occurred.<br>The recurrence rate was 45.<br>Conclusions: an absence of inflammation and complete excision of the lesion are essential to avoid reintervention and to achieve a good outcome in children with branchial anomalies.
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