Evidence map›Paper›PMID 42507214›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Imaging features and therapeutic approaches for congenital branchial anomalies in 1668 pediatric cases.

Xiaowei Chen, Bo Yu, Fei Qiu, Xiaohui Ma, Yi Yuan Han, Yong Fu, Jing Bi

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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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

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xiaowei ChenDepartment of ENT and Head & Neck Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center For Children And Adolescents' Health, And Diseases Binsheng Road 3333, Hangzhou, 310051, Zhejiang, China.ORCID http://orcid.org/0000-0001-7425-8715
Bo YuDepartment of ENT and Head & Neck Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center For Children And Adolescents' Health, And Diseases Binsheng Road 3333, Hangzhou, 310051, Zhejiang, China.ORCID http://orcid.org/0000-0003-1775-0927
Fei QiuDepartment of ENT and Head & Neck Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center For Children And Adolescents' Health, And Diseases Binsheng Road 3333, Hangzhou, 310051, Zhejiang, China.ORCID http://orcid.org/0009-0003-2440-9011
Xiaohui MaDepartment of Radiology, School of Medicine, Children's Hospital Zhejiang University, National Clinical Research Center For Children And Adolescents' Health And Diseases, Binsheng Road 3333, Hangzhou, 310051, Zhejiang, China.ORCID http://orcid.org/0000-0002-2232-7114
Yi Yuan HanDepartment of ENT and Head & Neck Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center For Children And Adolescents' Health, And Diseases Binsheng Road 3333, Hangzhou, 310051, Zhejiang, China.ORCID http://orcid.org/0009-0007-3145-1559
Yong FuDepartment of ENT and Head & Neck Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center For Children And Adolescents' Health, And Diseases Binsheng Road 3333, Hangzhou, 310051, Zhejiang, China.ORCID http://orcid.org/0000-0003-4570-2973
Jing BiDepartment of ENT and Head & Neck Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center For Children And Adolescents' Health, And Diseases Binsheng Road 3333, Hangzhou, 310051, Zhejiang, China. bijing-ent@zju.edu.cn.ORCID http://orcid.org/0000-0002-8413-5900

Funding

Science and Technology Program of Zhejiang Province WKJ-ZJ-26054
6 · The paper itself

Abstract

purposeTo summarize the imaging features of congenital branchial anomalies (CBA) in children based on a large single‑center cohort, propose cohort-based stratified diagnostic criteria and individualized surgical strategies, and provide a reference for the precise clinical management of pediatric CBA.

methodsA retrospective study analyzed 1,668 pediatric CBA at the Children's Hospital of Zhejiang University between January 2017 and December 2024. Data regarding gender, age, lesion laterality, infection history, lesion type, imaging features, and treatment regimens were summarized and evaluated.

resultsThe cohort included 936 males (56.1%) and 732 females (43.9%), with a median age of 3.02 years. Lesions were left-sided in 83.2% of cases, and 83.6% had infection histories. The diagnostic protocol proposed ultrasound as the preferred modality for pyriform sinus fistulas and sternoclavicular sinuses; ultrasound with magnetic resonance imaging for first branchial anomalies; and multislice computed tomography fistulography (MSCTF) for second branchial cleft fistulas. Post-surgical recurrence occurred in 57 cases (3.4%), The complication rate was 2.3%.

conclusionOptimized imaging protocols can improve the diagnostic accuracy of pediatric CBA, guide surgical planning and enhance clinical outcomes.

Indexed as

Branchial RegionCraniofacial AbnormalitiesAdolescentChildChild, PreschoolFemaleHumansInfantMagnetic Resonance ImagingMaleMultidetector Computed TomographyPharyngeal DiseasesRetrospective StudiesUltrasonographyChildrenCongenital branchial cleft malformationImaging FeaturesTreatment strategy

Identifiers

PMID42507214

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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.