The endoscopic approach to a fourth branchial pouch sinus presenting in an adult

Authors

  • Kathryn L. Parker MD,

    1. Department of Surgery, University of Maryland, Baltimore, Maryland
    Search for more papers by this author
  • Matthew S. Clary MD,

    1. Department of Otolaryngology–Head & Neck Surgery, University of Colorado School of Medicine, Denver, Colorado
    Search for more papers by this author
  • Mark S. Courey MD

    Corresponding author
    1. Department of Otolaryngology–Head & Neck Surgery, University of California San Francisco, San Francisco, California, U.S.A.
    • Send correspondence to Mark S. Courey, MD, University of California, San Francisco, Department of Otolaryngology–Head and Neck Surgery, 2330 Post St, 5th Floor, San Francisco, CA 94115. E-mail: mcourey@ohns.ucsf.edu

    Search for more papers by this author

  • Editor's Note: This Manuscript was accepted for publication on April 15, 2013.

  • This manuscript was accepted for poster presentation at the Triological Society's Combined Sections Meeting in Scottsdale, Arizona from January 24–26, 2013.

  • The authors have no funding, financial relationships, or conflicts of interest to disclose.

Abstract

Fourth branchial complex anomalies are rare and typically present in neonates or adolescents. Surgical management via open excision is the traditional approach to prevent recurrence. However, endoscopic sinus cauterization has recently been reported as a less invasive alternative. The current case report represents the first published account of a fourth branchial pouch presenting in an adult patient effectively managed through endoscopic excision. We compare this method to open excision and endoscopic ablative techniques. Laryngoscope, 123:2798–2800, 2013

Ancillary