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

Rachel C A Lim; Tze Liang Loh; Zakinah Yahaya; Aneeza Khairiyah Wan Hamizan

doi:10.1007/s12070-020-01941-7

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

Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1964-1966. doi: 10.1007/s12070-020-01941-7. Epub 2020 Jul 3.

Authors

Rachel C A Lim¹, Tze Liang Loh², Zakinah Yahaya³, Aneeza Khairiyah Wan Hamizan¹

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.

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.

Keywords: Branchial cleft; Fourth branchial anomaly; Neck abscess.