Introduction Branchial cleft cysts are congenital developmental defects of which second branchial
anomalies are the most common type.Most of these anomalies present as a lateral neck
mass along the anterior border of sternocleidomastoid muscle and their presentations
in the nasopharynx is considered extremely rare.The symptoms generally arise late
and the tumor growth leads to impaired nasal breathing,ear fullness and hearing loss.The
presence of formation in the epipharynx requires careful examination and diagnosis,followed
by histological verification.The presence of a mass in the nasopharynx leads to impaired
nasal breathing and this in turn leads to a functional adaptations which lead to subsequent
changes in craniofacial development.
Materials and methods A 32-years old woman came to the ENT department with history of impaired nasal breathing,ear
fullness and pain in the left ear.Microotoscopy was carried out with a subsequent
myringotomy ,which showed purulent inflammation of the middle ear.A nose endoscopy
was performed .The presence of tumor formation was found.On the performed MRI it is
presented as a complex structure with available cystic components engaging the area
of the nasopharynx .
Results An endoscopic endonasal marsupialisation of the cyst was made.Histopathological examination
revealed a branchial cleft cyst.The patient was discharged on the 3th day without any complications.Follow up after eight months showed no evidence of
recurrence and significantly improved nasal breathing.
Conclusion Due to nasal breathing occur typical oral and extraoral signs. ENT specialists and
pediatric dentists should strive to diagnose mouth-breathing in children as early
as possible and collaborate with a multidisciplinary team to correct its future consequences.
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