Complete fistula of the second branchial cleft: case report of catheter-aided total excision

International Journal of Pediatric Otorhinolaryngology
Ismail YilmazBeyhan Demirhan

Abstract

The authors report an extremely rare case of complete fistula of the second branchial cleft, with an external opening in the skin and an internal opening in the oropharyngeal mucosa. A 13-year-old girl presented with the complaint of intermittent drainage from the right side of her neck, a problem that had existed since birth. Fistulography revealed a complete fistula of the second branchial cleft. Before surgical excision, a 4-F catheter and a 0.018-in guide-wire were inserted into the external opening of the fistula and passed through to the tonsillar region under fluoroscopic guidance. The infrahyoid segment and parapharyngeal segment of the fistula were then excised through first- and second-step neck incisions, respectively. In this case, tonsillectomy was not necessary. Pathological examination of the wall of the fistula revealed lymphoid tissue containing lymphoid follicles. This report describes a technique in which complete excision of a fistula of the second branchial arch is facilitated by placing a catheter in the tract.

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Citations

Jun 9, 2005·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Ramazan KarabulutNuri Kale
Jul 9, 2013·National Journal of Maxillofacial Surgery·Venkateswara Gomathi ShankarHartimath Basavanand Swami
Jul 12, 2014·International Journal of Pediatric Otorhinolaryngology·Lauri KajosaariTuomas Klockars
Dec 14, 2005·International Journal of Pediatric Otorhinolaryngology·Kamal Nain RattanSamar Pal Singh Yadav
Jul 16, 2013·The Journal of Craniofacial Surgery·Selahattin GencAdin Selcuk
Apr 30, 2019·The Journal of Craniofacial Surgery·Jehad Al Sukhun, Mohamad El Naggar
Sep 27, 2018·Pediatric Surgery International·Li-Fang ShenQi Yu
Jul 1, 2020·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·Emad Ahmed MagdyAhmed Yoneis
Apr 26, 2021·International Journal of Pediatric Otorhinolaryngology·Ahmed Ragab, Hossam Adel Hussein

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