Hostname: page-component-7bb8b95d7b-pwrkn Total loading time: 0 Render date: 2024-09-06T16:11:16.506Z Has data issue: false hasContentIssue false
  • English
  • Français

First cleft branchial fistula in a child – a modified surgical technique

Published online by Cambridge University Press:  29 June 2007

P. Murthy ,
P. Shenoy  and
N. A. Khan
P. Murthy*
Affiliation:
Department of Otolaryngology, Raigmore Hospital NHS Trust, Inverness.
P. Shenoy
Affiliation:
Department of Otolaryngology, Raigmore Hospital NHS Trust, Inverness.
N. A. Khan
Affiliation:
Department of Otolaryngology, Raigmore Hospital NHS Trust, Inverness.
*
Mr P. Murthy, F.R.C.S., Department of Otolaryngology, Raigmore Hospital NHS Trust, Perth Road, Inverness IV2 3UJ.
Get access Rights & Permissions [Opens in a new window]

Abstract

Congenital first branchial cleft fistulae, their embryology, anomalies, varied relationships to the facial nerve and surgical techniques for their excision have been well described in the literature. We report a case of a type II first cleft fistula in a three-year-old child which required a modification of the standard surgical approach to achieve safe and complete excision with identification and preservation of the facial nerve.

Keywords

Branchial apparatusFacial nerve
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 12 , December 1994 , pp. 1078 - 1080
Copyright
Copyright © JLO (1984) Limited 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Denecke, H. J. (1980) Chirurgie der congenitalen Erkrankungen des Halses. In Die oto-rhino-laryngolischen operationen im Mundund Halsbereich, 3rd Edition (Kirschner, M., ed.), Springer, Berlin, pp 732–744.Google Scholar
Farrior, J. B., Santini, H. (1985) Facial nerve identification in children. Otolaryngology–Head and Neck Surgery 93: 173–176.CrossRefGoogle ScholarPubMed
Finn, D. G., Bucnalter, I. H., Sarti, E., Romo, T., Chodosh, P. (1987) First branchial cleft cysts: clinical update. Laryngoscope 97: 136–140.CrossRefGoogle ScholarPubMed
Lee, S. T. S., Krishnan, M. M. S. (1991) Branchial fistula: a review. Singapore Medical Journal 32: 50–52.Google ScholarPubMed
May, M. (1986) The Facial Nerve, Thieme-Stratton, New York, pp 549–577.Google Scholar
May, M., D'Angelo, A. J. Jr (1989) The facial nerve and the branchial cleft: surgical challenge. Laryngoscope 99(5): 564–565.CrossRefGoogle ScholarPubMed
Miller, P. D., Corcoran, M., Hobsley, M. (1984) Surgical excision of first cleft branchial fistulae. British Journal of Surgery 71: 696–697.CrossRefGoogle ScholarPubMed
Neame, J. H. (1983) Stripping branchial fistulae. Annals of the Royal College of Surgeons of England 65: 123.Google Scholar
Ohkawa, H., Kaneko, M., Ikebukuro, K., Sawaguchi, S. (1990) A new technique for the excision of the first branchial cleft fistula – turn-inside-out method of the fistula. Zeitschrift Fur Kinderchirurgie 45(1): 56–58.Google ScholarPubMed
Seifert, G., Miehlke, A., Haubrich, J., Chilla, R. (1986 a) Salivary and branchial cleft fistulae. In Diseases of the Salivary Glands. Georg Thieme-Verlag, Thieme Inc., New York, pp 164–166.Google Scholar
Seifert, G., Miehlke, A., Haubrich, J., Chilla, R. (1986 b) Surgery of the salivary glands. In Diseases of the Salivary Glands. Georg Thieme-Verlag, Thieme Inc., New York, pp 329–333.Google Scholar
Taylor, P. H., Bicknell, P. G. (1977) Stripping of branchial fistula – A new technique. Journal of Laryngology and Otology 91: 141–149CrossRefGoogle Scholar
Thisted, T. (1985) First branchial groove anomaly. Journal of Laryngology and Otology 99: 901–902.CrossRefGoogle ScholarPubMed
Work, W. P. (1972) Newer concepts of first branchial cleft defects. Laryyngoscope 82: 1581–1593.CrossRefGoogle ScholarPubMed
Work, W. P., Proctor, C. A. (1963) The otologist and first branchial cleft anomalies. Annals of Otolaryngology 72: 548.Google ScholarPubMed