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All Journal Sumatera Medical Journal
Aaron Wong Chun Chian
MBBS, Resident, Department of Plastic and Reconstructive Surgery, Hospital Sultanah Aminah, Johor, 80100, Malaysia
Immunology & microbiology Medicine & Pharmacology

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A First Branchial Cleft Cyst Masquerading as a Chronic Non-Healing Wound Ng Syiao Wei; Aaron Wong Chun Chian; Aziah Ab Rani; Yoke Chin Mun; Jothi Shanmuganathan
Sumatera Medical Journal Vol. 8 No. 2 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i2.19026

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.
Co-Authors Aziah Ab Rani Jothi Shanmuganathan Ng Syiao Wei Yoke Chin Mun