At physical inspection, external bronchial cleft sinus tracts are easily seen. Any of them would be diagnosed during puberty. Often special imaging experiments are used to assess the tract depth using dye placed through the outside opening. Sinus tracts are much more difficult to locate with only an internal opening. In order to validate the diagnosis a special anesthesia test called endoscopy is also performed.
In an infant who has no other signs, bronchial splinter cysts sometimes are observed during a physical examination. Either the family or the doctor senses a mass of the top or bottom of the lateral spine.
Operational removal is treated with branchy cysts and sinus tracts. No known medicinal remedy is possible, except for initial antibiotic treatment of compromised branch cleft cysts and sinus tracts. Until surgery, the infection should be resolved.
Bronchial sinus cleft tracts also have mucous drainage. The material is manufactured from drums which line the sinus tract. While this does not really mean an illness, unnecessary drainage may be distressing and require surgery. A complete operative removal of the cyst and possibly of the sinus tract is required for treatment. The precise procedure is determined by the anatomical location and degree of abnormality of the branch cleft. Some operations can be quite basic and some can be very complex. The first bronchial break defects in type II surgery are especially difficult and involve partial displacement of the parotid gland to locate and protect the face nerve.
The issues include hematoma, sarcoma, post operational disease and neck scar. Complications are those normal for an open neck surgery. Neuronal weakness or paralysis is also a concern in many situations.
B.P Poddar Hospital; Kolkata, India has a new operating technology and surgical techniques for Bronchial Cyst surgery. For this form of surgery, B.P Poddar Hospital has an inexpensive high rate of results.