Endoscopic-Assisted Transcervical Excision of Second Branchial Cleft Anomalies in Young Children.

Kieu, Thinh T; Alkhatib, Hosam H; Amin, Shaunak; Zhou, Sheng; Johnson, Kaalan · Laryngoscope · 2026

case_series · Level IV

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Abstract

We describe an endoscopic-assisted transcervical technique for excision of second branchial cleft anomalies in young children. In three cases (ages 2-8), this approach allowed safe identification and ligation of the tracts while providing improved visualization and allowing smaller incisions. Endoscopic assistance may be an effective alternative to traditional wide transcervical excision.