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B-mode and color Doppler imaging of different types of branchial cleft cysts in children. A multicenter study and review of the literature

Antigone Delantoni
Antigone Delantoni
, 
Merve Onder
Merve Onder
 y 
Kaan Orhan
Kaan Orhan
   | 01 sept 2022
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Article Category: research-paper
Publicado en línea: 01 sept 2022
Páginas: e174 - e178
Recibido: 20 nov 2021
Aceptado: 25 feb 2022
DOI: https://doi.org/10.15557/jou.2022.0028
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© 2022 Antigone Delantoni et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig. 1.

1st cleft cyst: in the inferior pole of the parotid gland one can observe a cystic-like lesion of multilobular borders, septa that are of low vascularity on color Doppler, and thick content, attached to the lateral borders
1st cleft cyst: in the inferior pole of the parotid gland one can observe a cystic-like lesion of multilobular borders, septa that are of low vascularity on color Doppler, and thick content, attached to the lateral borders

Fig. 2.

2nd cleft cyst: located in the submandibular region with thick mucous content of high echogenicity and without increased vascularity on color Doppler
2nd cleft cyst: located in the submandibular region with thick mucous content of high echogenicity and without increased vascularity on color Doppler

Fig. 3.

2nd cleft cyst: typical location of the lesion with anterior displacement of the submandibular gland, posterior displacement of the parotid gland, and inner pressure on the large vessels of the area. The presence of a small stem connecting the lesion to the carotid space is pathognomonic of the lesion
2nd cleft cyst: typical location of the lesion with anterior displacement of the submandibular gland, posterior displacement of the parotid gland, and inner pressure on the large vessels of the area. The presence of a small stem connecting the lesion to the carotid space is pathognomonic of the lesion

Table showing the differential diagnosis according to BCC types

Cleft cyst Differential diagnosis
1st AbscessesLymphatic malformations e.g. necrotic lymph nodesParotid mucoceleBenign lymphoepithelial cystWarthin tumor
2nd Lymphatic malformationsNodal metastasisLymphadenopathyAbscessSchwannoma
3rd Lymphatic malformationsAbscessInfrahyoid thyroglossal duct cystNodal metastasisLaryngoceleThyroid ectopic nodules
4th Necrotic lymph nodesAbscessCystic schwannomaThyroid colloid cystThymic cystLymphatic malformations

1st cleft cyst: in the inferior pole of the parotid gland one can observe a cystic-like lesion of multilobular borders, septa that are of low vascularity on color Doppler, and thick content, attached to the lateral borders

Type Total number Male to female ratio Density Doppler ultrasound (internal or peripheral vasculature increase/no flow)
1st cleft 9 5/4 All hypoechoic 2/7
2nd cleft 16 7/9 Hypoechoic/hyperechoic (1 case)/mixed (1 case) 1 (1 inconclusive)/14
3rd cleft 3 2/1 All hypoechoic 0/3
4th cleft 2 1/1 All hypoechoic 0/2
Inconclusive 3 1/2 All hypoechoic 0/3
eISSN:
2451-070X
Idioma:
Inglés
Calendario de la edición:
4 veces al año
Temas de la revista:
Medicine, Basic Medical Science, other
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