The congenital sternoclavicular sinus: a single-institution retrospective study of 88 patients
Abstract Background Sinus near the sternoclavicular joint was considered as a rare congenital neck abnormality. Though it was reported as a dermoid sinus in some literatures, the embryological origin of the sinus was unclear. This study aimed at reviewing the clinical and histological characteristic...
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | Orphanet Journal of Rare Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13023-021-01691-x |
| _version_ | 1818561574188613632 |
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| author | Gang Yang Taozhen He |
| author_facet | Gang Yang Taozhen He |
| author_sort | Gang Yang |
| collection | DOAJ |
| description | Abstract Background Sinus near the sternoclavicular joint was considered as a rare congenital neck abnormality. Though it was reported as a dermoid sinus in some literatures, the embryological origin of the sinus was unclear. This study aimed at reviewing the clinical and histological characteristics and analyzing the possible embryological origin of this malformation in children. Methods The medical records of all patients with congenital sternoclavicular sinus who underwent surgical resection between March 2018 through June 2020 were reviewed retrospectively. The clinical presentations, complications, histological examination, and treatment were analyzed. Results Of the 88 patients with congenital sternoclavicular sinus included, the mean age of surgery was 2.73 ± 1.71 years old. The sinuses occurred on the left side in 73 (83.0%) cases. Sixty-three patients experienced sinus infection and 44 patients underwent incision and drainage before excision. All patients received surgical resection with one patient who recurred after surgery. Histopathological examination showed that the sinuses were lined by squamous epithelium in most patients. However, ciliated epithelium was observed in one patient and salivary glands were detected in two patients. Conclusions The congenital sternoclavicular sinus should be excised promptly to prevent recurrent infection. According to the ciliated epithelium and salivary gland were found in the wall of sinus, it should be viewed as the skin side remnant of the fourth branchial cleft rather than a dermoid cyst/sinus. |
| first_indexed | 2024-12-14T00:52:37Z |
| format | Article |
| id | doaj.art-b09a37a6c6f24b11ac95eb2764e2b51e |
| institution | Directory Open Access Journal |
| issn | 1750-1172 |
| language | English |
| last_indexed | 2024-12-14T00:52:37Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Orphanet Journal of Rare Diseases |
| spelling | doaj.art-b09a37a6c6f24b11ac95eb2764e2b51e2022-12-21T23:23:45ZengBMCOrphanet Journal of Rare Diseases1750-11722021-01-011611510.1186/s13023-021-01691-xThe congenital sternoclavicular sinus: a single-institution retrospective study of 88 patientsGang Yang0Taozhen He1Department of Pediatric Surgery, West China Hospital, Sichuan UniversityDepartment of Pediatric Surgery, West China Hospital, Sichuan UniversityAbstract Background Sinus near the sternoclavicular joint was considered as a rare congenital neck abnormality. Though it was reported as a dermoid sinus in some literatures, the embryological origin of the sinus was unclear. This study aimed at reviewing the clinical and histological characteristics and analyzing the possible embryological origin of this malformation in children. Methods The medical records of all patients with congenital sternoclavicular sinus who underwent surgical resection between March 2018 through June 2020 were reviewed retrospectively. The clinical presentations, complications, histological examination, and treatment were analyzed. Results Of the 88 patients with congenital sternoclavicular sinus included, the mean age of surgery was 2.73 ± 1.71 years old. The sinuses occurred on the left side in 73 (83.0%) cases. Sixty-three patients experienced sinus infection and 44 patients underwent incision and drainage before excision. All patients received surgical resection with one patient who recurred after surgery. Histopathological examination showed that the sinuses were lined by squamous epithelium in most patients. However, ciliated epithelium was observed in one patient and salivary glands were detected in two patients. Conclusions The congenital sternoclavicular sinus should be excised promptly to prevent recurrent infection. According to the ciliated epithelium and salivary gland were found in the wall of sinus, it should be viewed as the skin side remnant of the fourth branchial cleft rather than a dermoid cyst/sinus.https://doi.org/10.1186/s13023-021-01691-xBranchial cleft anomalyDermoid fistulaChildren |
| spellingShingle | Gang Yang Taozhen He The congenital sternoclavicular sinus: a single-institution retrospective study of 88 patients Orphanet Journal of Rare Diseases Branchial cleft anomaly Dermoid fistula Children |
| title | The congenital sternoclavicular sinus: a single-institution retrospective study of 88 patients |
| title_full | The congenital sternoclavicular sinus: a single-institution retrospective study of 88 patients |
| title_fullStr | The congenital sternoclavicular sinus: a single-institution retrospective study of 88 patients |
| title_full_unstemmed | The congenital sternoclavicular sinus: a single-institution retrospective study of 88 patients |
| title_short | The congenital sternoclavicular sinus: a single-institution retrospective study of 88 patients |
| title_sort | congenital sternoclavicular sinus a single institution retrospective study of 88 patients |
| topic | Branchial cleft anomaly Dermoid fistula Children |
| url | https://doi.org/10.1186/s13023-021-01691-x |
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