Duplication of the External Auditory Canal: Two Cases and a Review of the Literature

The objective of the present paper is to describe the clinical presentation, diagnostic process, surgical treatment, and outcome of 2 patients with first branchial cleft anomaly. The first case was an 8-year-old girl presented with an elastic lesion located in the left infra-auricular area, in close...

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Main Authors: John K. Goudakos, Sarantis Blioskas, George Psillas, Victor Vital, Konstantinos Markou
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2012/924571
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author John K. Goudakos
Sarantis Blioskas
George Psillas
Victor Vital
Konstantinos Markou
author_facet John K. Goudakos
Sarantis Blioskas
George Psillas
Victor Vital
Konstantinos Markou
author_sort John K. Goudakos
collection DOAJ
description The objective of the present paper is to describe the clinical presentation, diagnostic process, surgical treatment, and outcome of 2 patients with first branchial cleft anomaly. The first case was an 8-year-old girl presented with an elastic lesion located in the left infra-auricular area, in close relation with the lobule, duplicating the external auditory canal. The magnetic resonance imaging revealed a lesion, appearing as a rather well-circumscribed mass within the left parotid gland and duplicating the ear canal. A superficial parotidectomy was subsequently performed, with total excision of the cyst. The second patient was a 15-year-old girl presented with a congenital fistula of the right lateral neck. At superficial parotidectomy, a total excision of the fistula was performed. During the operation the tract was recorded to lay between the branches of the facial nerve, extending with a blind ending canal parallel to the external acoustic meatus. Conclusively, first branchial cleft anomalies are rare malformations with cervical, parotid, or auricular clinical manifestations. Diagnosis of first branchial cleft lesions is achieved mainly through careful physical examination. Complete surgical excision with wide exposure of the lesion is essential in order to achieve permanent cure and avoid recurrence.
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spelling doaj-art-468822d040554f3abf5d73464f8d3d032025-02-03T01:10:29ZengWileyCase Reports in Otolaryngology2090-67652090-67732012-01-01201210.1155/2012/924571924571Duplication of the External Auditory Canal: Two Cases and a Review of the LiteratureJohn K. Goudakos0Sarantis Blioskas1George Psillas2Victor Vital3Konstantinos Markou41st Department of Otorhinolaryngology-Head and Neck Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece1st Department of Otorhinolaryngology-Head and Neck Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece1st Department of Otorhinolaryngology-Head and Neck Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece1st Department of Otorhinolaryngology-Head and Neck Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece1st Department of Otorhinolaryngology-Head and Neck Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, 54636 Thessaloniki, GreeceThe objective of the present paper is to describe the clinical presentation, diagnostic process, surgical treatment, and outcome of 2 patients with first branchial cleft anomaly. The first case was an 8-year-old girl presented with an elastic lesion located in the left infra-auricular area, in close relation with the lobule, duplicating the external auditory canal. The magnetic resonance imaging revealed a lesion, appearing as a rather well-circumscribed mass within the left parotid gland and duplicating the ear canal. A superficial parotidectomy was subsequently performed, with total excision of the cyst. The second patient was a 15-year-old girl presented with a congenital fistula of the right lateral neck. At superficial parotidectomy, a total excision of the fistula was performed. During the operation the tract was recorded to lay between the branches of the facial nerve, extending with a blind ending canal parallel to the external acoustic meatus. Conclusively, first branchial cleft anomalies are rare malformations with cervical, parotid, or auricular clinical manifestations. Diagnosis of first branchial cleft lesions is achieved mainly through careful physical examination. Complete surgical excision with wide exposure of the lesion is essential in order to achieve permanent cure and avoid recurrence.http://dx.doi.org/10.1155/2012/924571
spellingShingle John K. Goudakos
Sarantis Blioskas
George Psillas
Victor Vital
Konstantinos Markou
Duplication of the External Auditory Canal: Two Cases and a Review of the Literature
Case Reports in Otolaryngology
title Duplication of the External Auditory Canal: Two Cases and a Review of the Literature
title_full Duplication of the External Auditory Canal: Two Cases and a Review of the Literature
title_fullStr Duplication of the External Auditory Canal: Two Cases and a Review of the Literature
title_full_unstemmed Duplication of the External Auditory Canal: Two Cases and a Review of the Literature
title_short Duplication of the External Auditory Canal: Two Cases and a Review of the Literature
title_sort duplication of the external auditory canal two cases and a review of the literature
url http://dx.doi.org/10.1155/2012/924571
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