A CASE OF BRANCHIOGENIC CYST WITHIN THE PAROTID GLAND CAUSED BY A RECURRENT NECK ABSCESS

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  • KUSHIHASHI Yukiomi
    Head and Neck Oncology Center, Showa University Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistr Department of Otorhinolaryngology, Showa University School of Medicine
  • FUJII Naokazu
    Department of Otorhinolaryngology, Showa University School of Medicine
  • KATSUTA Hideyuki
    Head and Neck Oncology Center, Showa University Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistr Department of Otorhinolaryngology, Showa University School of Medicine
  • IKEDA Kenichiro
    Head and Neck Oncology Center, Showa University Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistr Department of Otorhinolaryngology, Showa University School of Medicine
  • EGAWA Syunya
    Head and Neck Oncology Center, Showa University Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistr Department of Otorhinolaryngology, Showa University School of Medicine
  • SAITO Yoshiro
    Head and Neck Oncology Center, Showa University Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistr
  • KURASAWA Yuya
    Head and Neck Oncology Center, Showa University Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistr
  • KAMOSHIDA Shinnosuke
    Head and Neck Oncology Center, Showa University Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistr
  • KITAJIMA Tatsuya
    Head and Neck Oncology Center, Showa University Department of Otorhinolaryngology, Showa University School of Medicine
  • SHIMANE Toshikazu
    Head and Neck Oncology Center, Showa University Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistr Department of Otorhinolaryngology, Showa University School of Medicine

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Other Title
  • 頸部膿瘍を反復した耳下腺鰓原性嚢胞の1例
  • 症例報告 頸部膿瘍を反復した耳下腺鰓原性嚢胞の1例
  • ショウレイ ホウコク ケイブ ノウヨウ オ ハンプク シタ ジカセンシゲンセイノウホウ ノ 1レイ

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Abstract

A branchiogenic cyst is a relatively rare disease which arises in the branchial tissue remnant during fetal life. We performed a parotid duct imaging examination, and a recurrent neck abscess was then identified as a cystic disease which communicated with the parotid duct. Here, we report the experience of a case of branchiogenic cyst diagnosed by histopathological findings which revealed ciliated columnar epithelium in the cyst wall. A 13-year-old boy had been suffering from repetitive swelling of the left parotid region since childhood. In May 2011, the 13-year-old boy was treated with oral treatment in a nearby hospital, but his condition was not ameliorated. He was referred to our hospital, and abscess formation in the left parotid region was found on contrast-enhanced computed tomography （CT） scans of the neck. His condition improved with conservative management, but abscess formation occurred 5 times in about one year. We performed a parotid duct imaging examination for investigation, and a cystic lesion which communicated with the parotid duct was identified. Most neck abscesses in children are caused by inflammation of cervical lymph nodes. In the case of the differential diagnosis of recurrent abscesses in the parotid region, we must consider the possibility of branchiogenic cysts as one of the underlying diseases, but when the fistula tract is not clearly identified, a parotid duct imaging examination and CT scans following the parotid duct imaging examination, as in the present case, seem to be effective.

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