A First Branchial Cleft Cyst Masquerading as a Chronic Non-Healing Wound

Authors

  • Ng Syiao Wei MBBS, Resident, Department of Otorhinolaryngology, University Malaya Medical Centre, Kuala Lumpur, 59100, Malaysia
  • Aaron Wong Chun Chian MBBS, Resident, Department of Plastic and Reconstructive Surgery, Hospital Sultanah Aminah, Johor, 80100, Malaysia
  • Aziah Ab Rani MS, Otorhinolaryngologist, Department of Otorhinolaryngology, Hospital Sultanah Aminah, Johor, 80100, Malaysia
  • Yoke Chin Mun MD, FRCS, Surgeon, Department of Plastic and Reconstructive Surgery, Hospital Sultanah Aminah, Johor, 80100, Malaysia
  • Jothi Shanmuganathan MS, Otorhinolaryngologist, Department of Otorhinolaryngology, Hospital Sultanah Aminah, Johor, 80100, Malaysia

DOI:

https://doi.org/10.32734/sumej.v8i2.19026

Keywords:

branchial cleft cyst, chronic wound, wound healing

Abstract

Background: First branchial cleft anomaly exhibits variable clinical features, ranging from a painless swelling, discharging sinus or pit, to recurrent infection. It could be easily misdiagnosed and mismanaged, resulting in recurrence.  Hence, any swellings or pits in Poncet’s triangle with a history of recurrent infection should raise the suspicion of a first branchial cleft anomaly. Objective: To present a case of chronic non-healing wound caused by an incompletely excised first branchial cleft anomaly. Methods: Case observation of a patient with a history of incomplete excision of a first branchial cyst. Results: Our patient was a case of incompletely excised first branchial cyst which subsequently presented as a chronic non- healing wound. She had undergone several workup for non-healing wound resulting in delay in receiving definitive treatment. Conclusion: Early recognition of first branchial cleft anomalies is important to prevent chronic complications and mismanagement.

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References

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Published

2025-05-01

How to Cite

1.
Wei NS, Chian AWC, Ab Rani A, Mun YC, Shanmuganathan J. A First Branchial Cleft Cyst Masquerading as a Chronic Non-Healing Wound. Sumat. Med. J. [Internet]. 2025May1 [cited 2025Aug.4];8(2):111-5. Available from: https://idjpcr.usu.ac.id/smj/article/view/19026

Issue

Vol. 8 No. 2 (2025): Sumatera Medical Journal (SUMEJ)

Section

Case Report

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