Minimally Invasive Laryngoscopically Assisted Management of an Enlarging Fourth Branchial Remnant
Bibliographic record
Abstract
Introduction: Third and fourth branchial cleft remnants usually present as cysts, sinuses, or fistulae. In this video, we show an exceptional case of an infected large fourth branchial cleft cyst with extension into the thoracic inlet and the novel therapeutic approach that was used to provide minimally invasive management of this lesion. The total run time of the video is 4 minutes and 12 seconds. Case Report: A premature female twin with known antenatal diagnosis of cystic left neck mass was found to have lymphatic malformation after physical examination and postnatal ultrasonography evaluation. The lesion did not interfere with the patient's airway or breathing, and, therefore, was of limited clinical significance, and the plan was to follow it clinically and with repeat ultrasonography at the time of discharge. After administration of vaccines and development of viral upper respiratory symptoms, the patient's left neck mass enlarged significantly, prompting further investigation with an MRI, which revealed a large infected branchial cyst of type III/IV. This was treated with a combination of endoscopic electrosurgical coagulation and percutaneous drainage, with good success. Discussion and Conclusion: To our knowledge, this is the only example in the literature of a minimally invasive approach having been used effectively to treat a branchial sinus and cyst extending to the thoracic inlet. The patient was followed for 1 year and there was no sign of recurrence. No competing financial interests exist and there are no conflicts of interest to disclose. All authors have approved the article and agree with its submission to Videoscopy of the Journal of Laparendoscopic and Advanced Surgical Techniques. Runtime of video: 4 mins 12 secs This work was presented as part of the IPEG 27th Annual Congress for Endosurgery in Children 2018, Seattle, WA.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".