{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T08:13:54Z","timestamp":1765268034708},"reference-count":9,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2009,7,31]],"date-time":"2009-07-31T00:00:00Z","timestamp":1248998400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215109990405_sec1\"><jats:title>Objective:<\/jats:title><jats:p>Branchial cleft anomalies are well described, with the second arch anomaly being the commonest. Following surgical excision, recurrence occurs in 2 to 22 per cent of cases, and is believed to be due largely to incomplete resection. This report aims to describe a simple surgical technique for treatment of second branchial cleft sinus in the older paediatric age group and adults.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109990405_sec2\"><jats:title>Methodology:<\/jats:title><jats:p>An 11-year-old girl underwent surgical excision of a second branchial sinus. Prior to surgery, she was assessed by means of an imaging sonogram, and by direct methylene blue dye injection into the sinus on the operating table, followed by insertion of a metallic probe. Dissection was of the \u2018step ladder\u2019 incision type, but the incision was completed via an oropharyngeal approach. Histological examination of the lesion after excision established the diagnosis. No recurrence had been observed at the time of writing.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109990405_sec3\"><jats:title>Conclusions:<\/jats:title><jats:p>Although they are congenital lesions, second branchial cleft abnormalities usually present in the older paediatric age group or even in adulthood. In the case reported, a simple combined approach ensured completeness of resection.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215109990405","type":"journal-article","created":{"date-parts":[[2009,7,1]],"date-time":"2009-07-01T10:37:22Z","timestamp":1246444642000},"page":"1166-1168","source":"Crossref","is-referenced-by-count":9,"title":["Combined approach branchial sinusectomy: a new technique for excision of second branchial cleft sinus"],"prefix":"10.1017","volume":"123","author":[{"given":"A D","family":"Olusesi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2009,7,31]]},"reference":[{"key":"S0022215109990405_ref5","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1177\/014556139507401110","article-title":"Branchial cleft cyst posterior to the carotid vessels","volume":"74","author":"Halvorson","year":"1995","journal-title":"Ear Nose Throat J"},{"key":"S0022215109990405_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2004.07.027"},{"key":"S0022215109990405_ref8","first-page":"389","article-title":"Cervical cysts of second branchial arch: retrospective study of 14 cases [in Spanish]","volume":"28","author":"Calvo","year":"2001","journal-title":"An Otorrinolaringol Ibero Am"},{"key":"S0022215109990405_ref9","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510013186X"},{"key":"S0022215109990405_ref2","first-page":"74","article-title":"Recurrent branchial sinus tract with aberrant extensions","volume":"46","author":"Barret","year":"2004","journal-title":"Acta Chir Plast"},{"key":"S0022215109990405_ref4","doi-asserted-by":"publisher","DOI":"10.1159\/000086076"},{"key":"S0022215109990405_ref6","first-page":"239","volume-title":"Practical Pediatric Imaging: Diagnostic Radiology of Infants and Children","author":"Robson","year":"1998"},{"key":"S0022215109990405_ref7","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1007\/s12070-008-0030-0","article-title":"Simultaneous complete branchial and thyroglossal fistula \u2013 a rare presentation","volume":"60","author":"Abhisek","year":"2008","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"S0022215109990405_ref3","first-page":"69","article-title":"Management of second branchial sinus cleft anomalies","volume":"49","author":"Mitroi","year":"2008","journal-title":"Rom J Morphol Embryol"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215109990405","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,21]],"date-time":"2019-05-21T04:59:44Z","timestamp":1558414784000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215109990405\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,7,31]]},"references-count":9,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2009,10]]}},"alternative-id":["S0022215109990405"],"URL":"https:\/\/doi.org\/10.1017\/s0022215109990405","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,7,31]]}}}