Evidence map›Paper›PMID 40694114›Full record

ArticlePediatric surgery international2025

Surgical treatment of first branchial cleft anomalies using retrograde facial nerve dissection technique.

Ji Won Kim, Moo Kyun Park, Myung-Whan Suh, Soon-Hyun Ahn, Seong Keun Kwon, Jungirl Seok, Yoon Kyung Jeon, Seongyeon Jung, Eun-Jae Chung

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In one paragraph

Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. [Type Ⅱ first branchial cleft anomaly with parotid fistula： a case report and literature review].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ji Won KimDepartment of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University Sejong Hospital, Sejong, Republic of Korea.ORCID http://orcid.org/0000-0002-0882-9177
Moo Kyun ParkDepartment of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.ORCID http://orcid.org/0000-0002-8635-797X
Myung-Whan SuhDepartment of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.ORCID http://orcid.org/0000-0003-1301-2249
Soon-Hyun AhnDepartment of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.ORCID http://orcid.org/0000-0002-0759-6850
Seong Keun KwonDepartment of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.ORCID http://orcid.org/0000-0001-9218-7666
Jungirl SeokDepartment of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.ORCID http://orcid.org/0000-0001-6473-6015
Yoon Kyung JeonDepartment of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0001-8466-9681
Seongyeon JungDepartment of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0009-0007-2650-3350
Eun-Jae ChungDepartment of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea. voicechung@snu.ac.kr.ORCID http://orcid.org/0000-0003-3918-7717

Funding

Korea Health Industry Development Institute HI22C1323
6 · The paper itself

Abstract

purposeFirst branchial cleft anomalies (FBCAs) are infrequent congenital malformations. In FBCAs removal surgery, due to the previous infection history and the anatomical proximity of the FBCAs tract to the facial nerve, postoperative recurrence and facial paralysis are not uncommon. This study aimed to assess the clinical feasibility and outcomes of FBCAs resection using the retrograde facial nerve dissection technique.

methodsThis retrospective study included 19 patients (mean age, 6.3 ± 4.4 years) who underwent FBCAs excision via retrograde facial nerve dissection between 2017 and 2023. Data on demographics, operative details, histopathology, postoperative complications, and follow-up survey were reviewed.

resultsPreoperative infection history was present in 94.7% of patients; 42.1% had prior incision and drainage and 15.8% had previous excision attempts. Complete resection was achieved in all cases without facial nerve palsy. No recurrence was observed during the follow-up periods (median, 23.9 ± 9.8 months). Postoperative pain and paresthesia showed clinical improvement, while cosmetic satisfaction was relatively limited.

conclusionIn FBCAs patients, the close proximity of the facial nerve and the adhesion between the tract and facial nerve pose significant challenges. Using retrograde facial nerve dissection is believed to enable complete removal and reduce postoperative facial nerve paralysis.

Indexed as

Branchial RegionCraniofacial AbnormalitiesDissectionFacial NervePharyngeal DiseasesChildChild, PreschoolFacial ParalysisFemaleFollow-Up StudiesHumansInfantMalePostoperative ComplicationsRetrospective StudiesTreatment OutcomeChildrenFacial nerveFirst branchial cleft anomaliesRetrograde dissectionSurgical treatment

Identifiers

PMID40694114
PMCPMC12283764

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.