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| 題 名 | Type Ⅱ First Branchial Cleft Anomaly--A Case Report=第二型第一鰓裂異常--病例報告 |
|---|---|
| 作 者 | 古偉裕; 王國榮; 周延隆; 張雅慧; 周建聖; | 書刊名 | 慈濟醫學 |
| 卷 期 | 17:5 民94.10 |
| 頁 次 | 頁357-360+385 |
| 分類號 | 416.8 |
| 關鍵詞 | 第一鰓裂異常; 鰓裂瘻管; 鰓裂囊腫; 頸部淋巴上皮囊腫; First branchial anomaly; Branchial cleft fistula; Branchial cyst; Cervical lymphoepithelial cyst; |
| 語 文 | 英文(English) |
| 中文摘要 | 第一鰓裂異常是頭頸部罕見的缺陷疾病,被認為是來自胚胎發育時期外耳道的複製物。由於病例數少,臨床表現又容易被誤認為其它頭頸部疾病,病患常因此而接受不適當的治療。本文提出一例第二型第一鰓裂異常之中年男性病患,從年輕時即發現有反覆左耳漏病史,因主訴左上頸部腫塊合併濃瘍來就診,病患接受腮腺及瘻管切除並保留顏面神經,術中發現瘻管道自腫塊通至左外耳道底部軟硬骨部交界處開口。病患術後一年情況良好,無復發現象。 |
| 英文摘要 | First branchial cleft anomaly is a rare disease of the head and neck. It is thought to arise from the duplication of the external ear canal during embryogenesis. Because of its rarity, first branchial cleft anomaly is often misdiagnosed and results in inappropriate management. In this article, we present a case of type II first branchial cleft anomaly. A middle-aged man who had suffered from recurrent left-sided otorrhea visited our department with the chief complaint of a mass with abscess in the left upper neck for 1 week. He underwent parotidectomy and fistulectomy with facial nerve preservation. During the operation, we found a fistula tract extending from the mass to an orifice in the cartilage-bone junction of the left ear canal floor. The patient recovered well and had no recurrence t 1-year of follow up. |
本系統中英文摘要資訊取自各篇刊載內容。