Photo - Anterior cervical soft tissue
What is the ratio of left versus right-sided fourth branchial anomalies?
The majority of fourth branchial anomalies are left-sided (90% incidence).
What is the clinical presentation of third and fourth branchial cleft cysts/fistulae/sinuses?
They often present with suppurative thyroiditis and or neck abscesses.
What parathyroid anomaly may be associated with third and fourth branchial cleft anomalies and why?
An ectopic and undescended parathyroid gland maybe associated with either third or fourth branchial cleft anomalies since the parathyroid glands also arise from the third and fourth branchial pouches.
What parathyroid lesion is associated with third and fourth branchial cleft anomalies?
Parathyroid adenomas are associated with third and fourth branchial cleft anomalies.
Photograph of the anterior cervical soft tissues. The child's neck is in hyperextension.
There are dual cutaneous punctate foci of depigmentation with a left-sided visible fistula opening and palpable tiny right-sided cyst.
The photograph was uploaded with permission.