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We present two additional cases, including the only example of a right\u2010sided FBPS. Retrograde excision, beginning at the piriform apex, ensures complete removal of the tract and protection of the recurrent nerve. The posterior border of the thyroid ala must be resected or retracted for adequate exposure. Failure to remove the translaryngeal portion of the tract almost guarantees recurrence.<\/jats:p>","DOI":"10.1177\/019459989110500107","type":"journal-article","created":{"date-parts":[[2017,7,3]],"date-time":"2017-07-03T03:44:16Z","timestamp":1499053456000},"page":"44-50","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Fourth branchial pouch sinus: Diagnosis and treatment"],"prefix":"10.1002","volume":"105","author":[{"given":"Richard M.","family":"Rosenfeld","sequence":"first","affiliation":[{"name":"Department of Pediatric Otolaryngology Children's Hospital of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugh F.","family":"Biller","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Mount Sinai Medical Center New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,18]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-193201000-00001"},{"key":"e_1_2_1_3_1","first-page":"63","volume-title":"Otolaryngology","author":"Davies J","year":"1980"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(83)80090-6"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(72)90421-6"},{"key":"e_1_2_1_6_1","first-page":"368","article-title":"Fourth branchial cleft (pharyngeal pouch) remnant","volume":"77","author":"Tucker HM","year":"1973","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"e_1_2_1_7_1","first-page":"50","article-title":"Third and fourth branchial fistulas","volume":"27","author":"Kartheuser A","year":"1986","journal-title":"Chir Pediatr (Paris)"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198509000-00019"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(85)80007-0"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1981.01380130044010"},{"key":"e_1_2_1_11_1","first-page":"863","article-title":"Digestive duplications affecting the pharynx or fistulae of the fourth endo\u2010branchial pouch. 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