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When a branchial anomaly deviates from the classic presentation, an improper diagnosis and inadequate management are more likely to occur, leading to an increased recurrence rate. We present a case of a 6-year-old girl with an incidental finding of a right posterior oropharyngeal wall mass, distinctly separate from the tonsillar fossa, which was found on pathologic analysis to be a branchial cleft anomaly. The theories regarding the pathogenesis of branchial anomalies are presented, along with other cases of atypical branchial anomalies.<\/jats:p>","DOI":"10.1177\/014556131109001208","type":"journal-article","created":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T15:06:15Z","timestamp":1547046375000},"page":"581-583","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Case Report: A Branchial Cleft Anomaly Presenting as an Oropharyngeal Mass"],"prefix":"10.1177","volume":"90","author":[{"given":"David","family":"Mullin","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery, Otolaryngology, Mayo Clinic, Phoenix, Ariz."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meredith","family":"Merz","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Nationwide Children's Hospital, Columbus, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,12,1]]},"reference":[{"key":"bibr1-014556131109001208","first-page":"1022","volume":"42","author":"Kenealy JF","year":"1990","journal-title":"Trans Pa Acad Ophthalmol Otolaryngol"},{"key":"bibr2-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-42338"},{"key":"bibr3-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00355-4"},{"key":"bibr4-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1177\/000348940511400706"},{"key":"bibr5-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1258\/002221503321892424"},{"key":"bibr6-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(89)80192-7"},{"key":"bibr7-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2005.03518.x"},{"key":"bibr8-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2002.32253"},{"key":"bibr9-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1177\/014556130408300914"},{"key":"bibr10-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1177\/019459989310900526"},{"key":"bibr11-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1007\/s004050050082"},{"key":"bibr12-014556131109001208","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2002.17.4.564"},{"key":"bibr13-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.152.3.6463255"},{"key":"bibr14-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2004.08.011"},{"key":"bibr15-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199509000-00007"},{"key":"bibr16-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100127744"},{"key":"bibr17-014556131109001208","first-page":"421","volume":"9","author":"His W.","year":"1886","journal-title":"Archiv fur Anatomie und Entwickelungsgeschichte"},{"key":"bibr18-014556131109001208","first-page":"151","volume":"98","author":"Wenglowski R.","year":"1912","journal-title":"Langenbeck Archiv fur Klinische Chirurgie"},{"key":"bibr19-014556131109001208","first-page":"25","volume":"7","author":"Luschka H.","year":"1848","journal-title":"Archiv fur Physiologische Heilkunde"},{"key":"bibr20-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.09.118"},{"key":"bibr21-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2003.07.015"},{"key":"bibr22-014556131109001208","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-005-0985-3"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014556131109001208","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014556131109001208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:36:18Z","timestamp":1777401378000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/014556131109001208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,12]]},"references-count":22,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["10.1177\/014556131109001208"],"URL":"https:\/\/doi.org\/10.1177\/014556131109001208","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,12]]}}}