Korean J Otorhinolaryngol-Head Neck Surg.  2016 Aug;59(8):628-632. 10.3342/kjorl-hns.2016.59.8.628.

A Case of Second Branchial Cyst in Retropharyngeal Space, Appearing as Dyspnea and Dysphagia

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea. entsohn@gmail.com
  • 2Bundang Jesaeng Hospital, Seongnam, Korea.

Abstract

The authors report the clinical features of a huge retropharyngeal second branchial cyst in a 53-year-old woman. The patient showed acute exacerbation of dyspnea and dysphagia. On endoscopic examination and computed tomography (CT), a cyst-like lesion narrowing the oropharynx was observed in the right retropharyngeal space. However, a retropharyngeal abscess was also suspected on some CT images. A cystic mass was found and removed completely via exploration by trans-oral approach. According to the literature review, a branchial cleft anomaly mimicking retropharyngeal abscess is very rare.

Keyword

Branchial cleft anomalies; Dysphagia; Dyspnea; Pharynx; Retropharyngeal abscess

MeSH Terms

Branchial Region
Branchioma*
Deglutition Disorders*
Dyspnea*
Female
Humans
Middle Aged
Oropharynx
Pharynx
Retropharyngeal Abscess
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