Presented at the Meeting of the Eastern Section of the American Laryngological, Rhinological, and Otological Society, Philadelphia, Pennsylvania, January 27, 1996.
Periauricular Cysts and Sinuses†
Version of Record online: 4 JAN 2009
Copyright © 1997 The Triological Society
Volume 107, Issue 7, pages 883–887, July 1997
How to Cite
Nofsinger, Y. C., Tom, L. W.C., LaRossa, D., Wetmore, R. F. and Handler, S. D. (1997), Periauricular Cysts and Sinuses. The Laryngoscope, 107: 883–887. doi: 10.1097/00005537-199707000-00009
- Issue online: 4 JAN 2009
- Version of Record online: 4 JAN 2009
Periauricular cysts, sinuses, and fistulas occur commonly in the pediatric population. They arise from developmental defects of the first branchial cleft and first branchial arch. In most instances the diagnosis and management of these conditions are straightforward, but exceptional presentations sometimes occur. Failure to recognize these unusual cases may result in inadequate treatment and subsequent recurrence, and even if the correct diagnosis is made, surgical management of these lesions may be complicated. A series of 15 cases of periauricular congenital lesions is reviewed, of which three cases illustrating a diagnostic or surgical challenge are presented. The embryology, presentation, and management of these anomalies are discussed. This is one of the largest series of first branchial cleft anomalies reported in the literature, and our paper uniquely discusses first branchial cleft anomalies and preauricular sinuses together, with an emphasis on the surgical management of facial nerve, external ear, and middle ear involvement.