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Anatomical Variation of Branchial Clefts: A Retrospective Study

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Author(s): N. Saki | F. Rahim | S. Nickakhlagh | H. Dehdashti | G. Saki

Journal: Journal of Medical Sciences
ISSN 1682-4474

Volume: 9;
Issue: 2;
Start page: 108;
Date: 2009;
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Keywords: Cyst | fistulas | sinus | bronchial cleft

ABSTRACT
This retrospective study was conducted to define the relationship of between existences of the bronchial cysts and fistulas with gender of patients as well as review of literature. Data were collected from the records of total 149 patient files (63 male and 86 female) with including history of having branchial cleft anomalies (cysts and fistulas), that admitted in ENT Department of Imam Khomeini and Apadana Private Hospitals between 1998 and 2008. The analyzed characteristics include gender of patient, anatomical location and type the anomaly. The most frequent type of branchial cleft anomalies in cyst and fistula disorders was second branchial with the values of 85.71% in 21 male patients, 37.5% in total 48 patients; 76.19% in 42 male patients, 31.68% in total 101 patients and values of 62.97% in 27 patients, 35.41% in total 48 cases; 76.27% in 59 female patients, 44.55% in total 101 cases, respectively. There was no significant difference in frequency (p>0.05) between male and female patients as well as the locations of anomalies in neck. The overall frequency of the second branchial cleft in different types of disorders such as cysts and fistulas in Southwest region of Iran is the highest, which was similar to international findings. In summary, anatomical location and type of congenital neck masses help narrow the differential diagnosis.
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