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Fourth Branchial Pouch Sinus: A Rare, Often Misdiagnosed Congenital Anomaly

Lim RCA 1 , Loh TL 2 , Yahaya Z 3 , Wan Hamizan AK 1

Affiliations 

  • 1 Department of Otorhinolaryngology and Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Center, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur Malaysia
  • 2 Department of Otorhinolaryngology, Hospital Sultan Ismail, Jalan Mutiara Emas Utama, Taman Mount Austin, 81100 Johor Bahru, Johor Malaysia
  • 3 Department of Otorhinolaryngology, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur, Malaysia
Indian J Otolaryngol Head Neck Surg, 2022 Oct;74(Suppl 2):1964-1966.
PMID: 36452519 DOI: 10.1007/s12070-020-01941-7

Abstract

Pathologies of the branchial apparatus originate from abnormal embryological development and frequently affects the second branchial cleft. Fourth branchial cleft lesions are exceptionally few and existing literature on it is scarce. We present a case of a fourth branchial pouch sinus, masquerading as a recurrent neck abscess.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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