Abstract
Branchial cleft cysts, sinuses, and fistulas are the most common congenital lateral neck lesions in children. They arise as a result of an abnormal development of the branchial arches and their corresponding ectoderm-lined branchial clefts. Of these diverse anomalies, second branchial cleft lesions are the most common, accounting for approximately 95% of all branchial arch pathologies. We describe what is to the best of our knowledge the first reported case of an ectopic tooth in a branchial cleft anomaly. The patient was a young girl who had other congenital abnormalities and syndromic features and who was eventually diagnosed with Townes-Brocks syndrome. We describe the clinical presentation, management, pathologic analysis, and postoperative outcomes of this case, and we present a brief review of Townes-Brocks syndrome.
MeSH terms
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Abnormalities, Multiple / diagnosis*
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Abnormalities, Multiple / pathology
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Abnormalities, Multiple / surgery
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Anus, Imperforate / diagnosis*
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Anus, Imperforate / pathology
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Anus, Imperforate / surgery
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Branchial Region / abnormalities*
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Branchial Region / pathology
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Branchial Region / surgery
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Child
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Craniofacial Abnormalities / diagnosis*
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Craniofacial Abnormalities / pathology
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Craniofacial Abnormalities / surgery
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Female
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Follow-Up Studies
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Hearing Loss, Sensorineural / diagnosis*
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Hearing Loss, Sensorineural / pathology
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Hearing Loss, Sensorineural / surgery
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Humans
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Pharyngeal Diseases / diagnosis*
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Pharyngeal Diseases / pathology
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Pharyngeal Diseases / surgery
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Thumb / abnormalities*
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Thumb / pathology
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Thumb / surgery
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Tooth Eruption, Ectopic / diagnosis*
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Tooth Eruption, Ectopic / pathology
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Tooth Eruption, Ectopic / surgery
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Treatment Outcome
Supplementary concepts
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Branchial Cleft Anomalies
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Townes-Brocks syndrome