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Facial Plast Surg 2024; 40(04): 505-513
DOI: 10.1055/a-2158-1529
Original Research

Cervical Chondrocutaneous Branchial Remnants: A Rare Congenital Anomaly of the Neck. A Case Series, Literature Review, and Associated Anomalies

Efe Şimşekcan
1   Department of Plastic, Reconstructive and Aesthetic Surgery, 25 Aralık Devlet Hastanesi, Gaziantep, Türkiye
,
Büşra Sarıay
2   Department Of Radiology, Abdulkadir Yüksel Devlet Hastanesi, Gaziantep, Türkiye
,
Didem Turcan
3   Department of Pathology, 25 Aralık Devlet Hastanesi, Gaziantep, Türkiye
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Abstract

Cervical chondrocutaneous branchial remnants (CCBRs) are rare anomalies found in the neck. These remnants can be easily misdiagnosed due to their low incidence, and they are often associated with other anomalies. Previous studies have reported an association with other anomalies in up to 76% of cases. In this article, the authors present a case series of two patients with bilateral CCBRs and investigate the associated anomalies through a literature review. Patients diagnosed with CCBRs who presented with cervical masses were included. Records were reviewed to investigate factors such as sex, location of the CCBRs, associated anomalies, timing of operations, and cartilage pathology. A surgical excision technique was employed, and the study also included a literature review focusing on reports related to CCBRs and associated anomalies. Two patients, a 3-year-old boy and a 17-year-old adolescent girl, with bilateral CCBRs underwent surgical excision. Patient demographics, prevalence, and characteristics of associated anomalies in CCBR cases were documented in the literature review. This case series presented two successful surgical excisions of CCBRs without complications or recurrence at 1 year of follow-up. The study emphasized the importance of thorough evaluation and assessment for associated anomalies in various body systems due to the potential co-occurrence of CCBRs with other anomalies.

Keywords

abnormalities/multiple - branchial region/abnormalities - cartilage/abnormalities - choristoma/diagnosis - neck/abnormalities


Publication History

Accepted Manuscript online:
22 August 2023

Article published online:
25 September 2023

© 2023. Thieme. All rights reserved.

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  • References

  • 1 Beder LB, Kemaloğlu YK, Maral I, Serdaroğlu A, Bumin MA. A study on the prevalence of accessory auricle anomaly in Türkiye. Int J Pediatr Otorhinolaryngol 2002; 63 (01) 25-27
    CrossrefPubMedSearch in Google Scholar
  • 2 Ahmed KA, Poole MD. Second branchial cleft anomaly presenting as a rudimentary pinna in the nasopharynx of a newborn. Ear Nose Throat J 2004; 83 (09) 637-638
    CrossrefPubMedSearch in Google Scholar
  • 3 Hendizadeh L, Zaghi S, Guzman C, Haydel D, Koempel J. A rudimentary tragus in the nasopharynx: case report, literature review, and discussion of embryologic development. Int J Pediatr Otorhinolaryngol 2013; 77 (08) 1378-1380
    CrossrefPubMedSearch in Google Scholar
  • 4 Chintalapati K, Gunasekaran S, Frewer J. Accessory tragus in the middle ear: a rare congenital anomaly. Int J Pediatr Otorhinolaryngol 2010; 74 (11) 1338-1339
    CrossrefPubMedSearch in Google Scholar
  • 5 Clarke JA. Are wattles of auricular or branchial origin?. Br J Plast Surg 1976; 29 (03) 238-244
    CrossrefPubMedSearch in Google Scholar
  • 6 Kohelet D, Arbel E. A prospective search for urinary tract abnormalities in infants with isolated preauricular tags. Pediatrics 2000; 105 (05) E61
    CrossrefPubMedSearch in Google Scholar
  • 7 Roth DA, Hildesheimer M, Bardenstein S. et al. Preauricular skin tags and ear pits are associated with permanent hearing impairment in newborns. Pediatrics 2008; 122 (04) e884-e890
    CrossrefPubMedSearch in Google Scholar
  • 8 Atlan G, Egerszegi EP, Brochu P, Caouette-Laberge L, Bortoluzzi P. Cervical chrondrocutaneous branchial remnants. Plast Reconstr Surg 1997; 100 (01) 32-39
    CrossrefPubMedSearch in Google Scholar
  • 9 Rameh C, Sidani C, Arabi M, Achkar J. Bilateral cervical chondrocutaneous branchial remnants associated with cardiac anomalies. J Otolaryngol Suppl 2007; 36 (05) E79-E81
    PubMedSearch in Google Scholar
  • 10 Lindgren VV. Bilateral cartilaginous branchial remnants (branchial appendages); case report. Plast Reconstr Surg 1956; 17 (04) 304-308
    CrossrefPubMedSearch in Google Scholar
  • 11 Punyamurthy M. Accessory auricles in the neck. J Laryngol Otol 1972; 86 (02) 173-174
    CrossrefPubMedSearch in Google Scholar
  • 12 Christensen P, Barr RJ. Wattle: an unusual congenital anomaly. Arch Dermatol 1985; 121 (01) 22-23
    CrossrefPubMedSearch in Google Scholar
  • 13 Sperling LC. Congenital cartilaginous rests of the neck. Int J Dermatol 1986; 25 (03) 186-187
    CrossrefPubMedSearch in Google Scholar
  • 14 Vaughan TK, Sperling LC. Diagnosis and surgical treatment of congenital cartilaginous rests of the neck. Arch Dermatol 1991; 127 (09) 1309-1310
    CrossrefPubMedSearch in Google Scholar
  • 15 Kim SW, Moon SE, Kim JA. Bilateral accessory tragi on the suprasternal region. J Dermatol 1997; 24 (08) 543-545
    CrossrefPubMedSearch in Google Scholar
  • 16 Bendet E. A wattle (cervical accessory tragus). Otolaryngol Head Neck Surg 1999; 121 (04) 508-509
    CrossrefPubMedSearch in Google Scholar
  • 17 Braun H, Hofmann T, Wolfgruber H, Anderhuber W, Beham A, Stammberger H. Case report of bilateral cervical chondrocutaneous branchial remnants. Int J Pediatr Otorhinolaryngol 2003; 67 (01) 89-92
    CrossrefPubMedSearch in Google Scholar
  • 18 Fuad B, Elmir C, Samir DD. Neck auricles with microtia and low position of the right ear: a case report. Auris Nasus Larynx 2003; 30 (03) 283-285
    CrossrefPubMedSearch in Google Scholar
  • 19 Rund CR, Galyon SW, Fischer EG. Pathologic quiz case: an anterior neck mass in a 5-month-old female infant. Wattle (congenital cervical tragus). Arch Pathol Lab Med 2004; 128 (12) 1453-1454
    CrossrefPubMedSearch in Google Scholar
  • 20 Coras B, Hafner C, Roesch A, Vogt T, Landthaler M, Hohenleutner U. Congenital cartilaginous rests of the neck (wattles). Dermatol Surg 2005; 31 (10) 1349-1350
    CrossrefPubMedSearch in Google Scholar
  • 21 Konaş E, Canter HI, Mavili ME. Cervical accessory auricula. J Craniofac Surg 2006; 17 (04) 713-715
    CrossrefPubMedSearch in Google Scholar
  • 22 Oztürk H, Ozdemir T, Demirbağ S. et al. Bilateral cervical chondrocutaneous remnants: a case report and review of the literature. Turk J Pediatr 2006; 48 (02) 175-177
    PubMedSearch in Google Scholar
  • 23 Gilboa Y, Achiron R, Zalel Y, Bronshtein M. Prenatal diagnosis of cervical chondrocutaneous vestige. Ultrasound Obstet Gynecol 2007; 30 (07) 1010-1012
    CrossrefPubMedSearch in Google Scholar
  • 24 Shin JB, Son SW, Kim IH, Seo SH. A congenital skin-coloured nodule on neck. Clin Exp Dermatol 2007; 32 (06) 777-778
    CrossrefPubMedSearch in Google Scholar
  • 25 Dayal D, Menon P. Bilateral cervical chondrocutaneous branchial remnants. Indian Pediatr 2008; 45 (03) 221
    PubMedSearch in Google Scholar
  • 26 Tamir S, Nidal M, Constantin R, Perez R, Sichel JY. Bilateral cervical chondrocutaneous branchial remnants. Int J Pediatr Otorhinolaryngol 2008; 3: 117-119
    CrossrefPubMedSearch in Google Scholar
  • 27 Nasser HA, Iskandarani F, Berjaoui T, Fleifel S. A case report of bilateral cervical chondrocutaneous remnants with review of the literature. J Pediatr Surg 2011; 46 (05) 998-1000
    CrossrefPubMedSearch in Google Scholar
  • 28 Choi HJ, Lee JC, Kim JH. Cervical branchial cartilaginous remnant. J Craniofac Surg 2012; 23 (02) 611-613
    CrossrefPubMedSearch in Google Scholar
  • 29 Hemmaoui B, Fejjal N, Nadour K, Benariba F. Cervical chondrocutaneous branchial remnants: two case reports. J Paediat Dermatol 2013; 14: 33-35
    PubMedSearch in Google Scholar
  • 30 Oiso N, Kawada A. Cervical auricles in a family. Eur J Dermatol 2012; 22 (03) 395-396
    CrossrefPubMedSearch in Google Scholar
  • 31 Pham Dang N, Chevaleyre A, Troude B, Mondié JM, Barthélémy I. Bilateral cervical chondrocutaneous remnants: a familial observation. Br J Oral Maxillofac Surg 2013; 51 (08) e288-e290
    CrossrefPubMedSearch in Google Scholar
  • 32 Begovic N, Simic R, Vlahovic A, Kravljanac D, Djuricic S, Mijovic T. Cervical chondrocutaneous branchial remnants: report of 17 cases. Int J Pediatr Otorhinolaryngol 2014; 78 (11) 1961-1964
    CrossrefPubMedSearch in Google Scholar
  • 33 Chander B, Dogra SS, Raina R, Sharma C, Sharma R. Chondrocutaneous branchial remnants or cartilaginous choristoma: terminology, biological behavior and salience of bilateral cervical lesions. Turk Patoloji Derg 2014; 30 (03) 195-200
    PubMedSearch in Google Scholar
  • 34 Lowry TR. Cervical accessory tragus: an unusual pediatric neck mass. Ear Nose Throat J 2014; 93 (01) 22
    CrossrefPubMedSearch in Google Scholar
  • 35 Klockars T, Kajosaari L. Cervical chondrocutaneous branchial remnants. Cleft Palate Craniofac J 2017; 54 (02) 223-226
    CrossrefPubMedSearch in Google Scholar
  • 36 Kono T, Ro H, Murakami N. et al. Accessory auricles affecting the tragus and cheek occurring with cervical chondrocutaneous branchial remnants: a case report. Int Open Access J Surg Reconstr 2015; 6: 20-24
    PubMedSearch in Google Scholar
  • 37 Feito J, Ramos-García JL, Gago Á. et al. Pacinian corpuscles in a cervical chondrocutaneous remnant: a case report and update of pacinian corpuscles. Am J Dermatopathol 2016; 38 (03) 231-235
    CrossrefPubMedSearch in Google Scholar
  • 38 Nielsen LJ, Von Rosen K, Jakobsen LP. Cervical chondrocutaneous branchial remnants: a case report. Eplasty 2016; 16: ic17
    PubMedSearch in Google Scholar
  • 39 Woo HY, Kim HS. Clinicopathological characteristics of cervical chondrocutaneous branchial remnant: a single-institutional experience. Int J Clin Exp Pathol 2017; 10 (09) 9866-9877
    PubMedSearch in Google Scholar
  • 40 Ginat DT, Johnson DN, Shogan A, Cipriani NA. Cervical chondrocutaneous branchial remnants. Head Neck Pathol 2018; 12 (02) 244-246
    CrossrefPubMedSearch in Google Scholar
  • 41 Yin XF, Shi J, Hua ZX, Miao X, Zhou BR. Case series of neck accessory tragus. J Cosmet Dermatol 2019; 18 (06) 1800-1802
    CrossrefPubMedSearch in Google Scholar
  • 42 Lee HS, Kim TH, Jang JY. et al. Bilateral cervical chondrocutaneous branchial remnants: a case report and a review of the literature. Medicine (Baltimore) 2020; 99 (28) e21114
    CrossrefPubMedSearch in Google Scholar
  • 43 Ishigaki T, Akita S, Suzuki H, Udagawa A, Mitsukawa N. Cervical chondrocutaneous branchial remnants: a report of 29 cases and review of the literature. Auris Nasus Larynx 2021; 48 (02) 288-294
    CrossrefPubMedSearch in Google Scholar
  • 44 Kajal S, Ahmed A, Gupta A. Where is my ear?: cervical chondrocutaneous branchial remnant. Turk Arch Otorhinolaryngol 2021; 59 (03) 242-243
    CrossrefPubMedSearch in Google Scholar
  • 45 Park DH, Lee JK, Baik BS, Yang WS, Kim SY. Cervical chondrocutaneous remnant: a case report. Arch Craniofac Surg 2022; 23 (05) 241-245
    CrossrefPubMedSearch in Google Scholar