Comprehensive management and classification of first branchial cleft anomalies: An International Pediatric Otolaryngology Group (IPOG) consensus statement.
Journal
International journal of pediatric otorhinolaryngology
Journal Volume
186
Start Page
Article number 112095
ISSN
1872-8464
Date Issued
2024-11
Author(s)
Heilingoetter, Ashley L
See, Goh Bee
Brookes, James
Campisi, Paolo
Cervantes, Sergio Santino
Chadha, Neil K
Chelius, Daniel
Chen, Diane
Chun, Bob
Cunningham, Michael J
D'Souza, Jill N
Din, Taseer
Dzongodza, Titus
Francom, Christian
Gallagher, Thomas Q
Gerber, Mark E
Gorelik, Michael
Goudy, Steven
Graham, M Elise
Hartley, Benjamin
Hazkani, Inbal
Hong, Paul
Isaac, Andre
Jatana, Kris R
Johnston, Douglas R
Kabagenyi, Fiona
Kazahaya, Ken
Koempel, Jeff
Leboulanger, Nicolas
Luscan, Romain
Maurrasse, Sarah E
Mercier, Erika
Peer, Shazia
Preciado, Diego
Rahbar, Reza
Rastatter, Jeffrey
Richter, Gresham
Rosenblatt, Steven D
Shay, Sophie G
Sheyn, Anthony
Tassew, Yilkal
Walz, Patrick C
Whigham, Amy S
Wiedermann, Joshua P
Yeung, Jeffrey
Maddalozzo, John
Abstract
Objective: First branchial cleft anomalies are rare congenital head and neck lesions. Literature pertaining to classification, work up and surgical treatment of these lesions is limited and, in some instances, contradictory. The goal of this work is to provide refinement of the classification system of these lesions and to provide guidance for clinicians to aid in the comprehensive management of children with first branchial cleft anomalies. Materials and methods: Delphi method survey of expert opinion under the direction of the International Pediatric Otolaryngology Group (IPOG) was conducted to generate recommendations for the definition and management of first branchial cleft anomalies. The recommendations are the result of expert consensus and critical review of the literature. Results: Consensus recommendations include evaluation and diagnostic considerations for children with first branchial cleft anomalies as well as recommendations for surgical management. The current Work classification system was reviewed, and modifications were made to it to provide a more cogent categorization of these lesions. Conclusion: The mission of the International Pediatric Otolaryngology Group (IPOG) is to develop expertise-based recommendations based on review of the literature for the management of pediatric otolaryngologic disorders. These consensus recommendations are aimed at improving care of children presenting with first branchial cleft anomalies. Here we present a revised classification system based on parotid gland involvement, with a focus on avoiding stratification based on germ layer, in addition to guidelines for management.
Subjects
Facial nerve
First branchial cleft anomalies
First branchial cleft cyst
Parotid
Surgical management first branchial cleft anomalies
Type
journal article