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• W2011102764 abstract "<h3>Objectives</h3> To determine the presentation of third or fourth branchial pouch anomalies in various age groups of children and evaluate endoscopic cauterization as a treatment technique. <h3>Design</h3> Retrospective study of patients treated from 2000 to 2009. <h3>Setting</h3> Tertiary care children's hospital. <h3>Patients</h3> Pediatric patients aged 0 to 18 years (mean age, 5.5 years), including 5 neonates. <h3>Interventions</h3> Endoscopic and/or open surgical management of third and fourth branchial pouch anomalies; clinical and endoscopic follow-up. <h3>Main Outcome Measures</h3> Absence of clinical recurrence; closure of the sinus tract. <h3>Results</h3> Two forms of presentation were identified: a neonatal form, characterized by a voluminous and compressive cervical mass (5 of 20 [25%]) and a childhood form, presenting as a cervical abscess (15 of 20 [75%]). The vast majority of our patients regardless of presentation were treated endoscopically (n = 19), with a success rate of 68% (13 of 19) after 1 procedure, 79% (15 of 19) after 2 procedures, and 89% (17 of 19) after 3 procedures. Neonatal and adult presentations require slightly different therapeutic approaches. <h3>Conclusions</h3> Third and fourth branchial pouch anomalies can present in 2 distinct forms: a neonatal form and a childhood form. The endoscopic technique should be the favored approach for both forms: whenever possible, in view of its simplicity, rapidity, and the lack of serious postoperative complications. Recurrences can be treated by repeated cauterization using the same technique, with good long-term outcomes. An age-based management algorithm has been developed." @default.
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• W2011102764 date "2010-09-20" @default.
• W2011102764 modified "2023-10-18" @default.
• W2011102764 title "Neonatal vs Delayed-Onset Fourth Branchial Pouch Anomalies" @default.
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• W2011102764 doi "https://doi.org/10.1001/archoto.2010.148" @default.
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