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Fourth branchial pouch anomaly

Published online by Cambridge University Press:  29 June 2007

Toru Takimoto ,
Tomokazu Yoshizaki ,
Hiromi Ohoick  and
Hiofo Sakashita
Toru Takimoto*
Affiliation:
Kanazawa, Japan
Tomokazu Yoshizaki
Affiliation:
Kanazawa, Japan
Hiromi Ohoick
Affiliation:
Kanazawa, Japan
Hiofo Sakashita
Affiliation:
Kanazawa, Japan
*
Toru Takimoto, MD, Department of Otolaryngology, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920, Japan.
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Abstract

We present an extremely rare case of fourth branchial fistula in a 23-year-old male. The characteristic clinical feature was a recurrent left lower neck abscess which did not respond to appropriate medical and surgical therapy. Radiography and a computed tomographic scan with contrast material revealed a fistula running from the apex of the left pyriform sinus (internal opening) to the left lower neck abscess. The fistula tract was excised surgically. Histological examination of the excised fistula revealed a squamous epithelial lining and subepithelial lymphoid tissue. This pyriform sinus fistula is thought to be of fourth pharyngeal pouch origin, because of its surgical aspects and the histologicalfindings of the excised fistula.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 11 , November 1990 , pp. 905 - 907
Copyright
Copyright © JLO (1984) Limited 1990

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References

Abe, K., Fujita, H., Matsuura, N., Minami, H., Sato, T. (1981) A fistula from piriform sinus in recurrent acute suppurativethyroiditis. American Journal of Disease Child, 135: 178.Google Scholar
Chandler, J. R., Mitchell, B. (1981) Brancheal cleft cysts, sinuses, and fistulas. Otolaryngologic Clinics of North America, 14: 175–186.CrossRefGoogle Scholar
DeLozier, H. L., Sofferman, R. A. (1986) Pinform sinus fistula: unusual cause of recurrent retropharyngeal abscess and cellulitis. Annals of Otology, Rhinology and Laryngology, 377–382.CrossRefGoogle Scholar
Doi, O., Huston, J. M., Myers, N. A., McKelvie, P. A. (1988) Branchial remnants: a review of 58 cases. Journal of Pediatric Surgery, 23: 789–792, 1988.CrossRefGoogle ScholarPubMed
Godin, M. S., Kearns, D. B., Pransky, S. M., Seid, A. B., Wilson, D. B. (1990) Fourth branchial pouch sinus: principles of diagnosis and management. Laryngoscope, 100: 174–178.CrossRefGoogle ScholarPubMed
Liston, S. L. (1981) Fourth branchial fistula. Otolaryngology–Head and Neck Surgery, 89: 520–522.CrossRefGoogle ScholarPubMed
Miller, D., Hill, J. L., Sun, C. S., O'Brien, D. S., Hailer, J. A. (1983) The diagnosis and management of piriform sinus fistulae in infants and young children. Journal of Pediatric Surgery, 377–381.CrossRefGoogle ScholarPubMed
Miyauchi, A., Matsuzuka, F., Takai, S., Kuma, K., Kosaki, , (1981) Piriform sinus fistula: a route for infection in acute suppurative thyroiditis. Archives of Surgery, 116: 66–69.CrossRefGoogle ScholarPubMed
Narcy, P., Aumount-Grosskopf, C., Bobin, S., Manac'h, Y. (1988) Fistulae of the fourth endobranchial pouch. International Journal of Pediatric Otorhinolaryngology, 16: 157–165.CrossRefGoogle ScholarPubMed
Ostefeld, E., Segal, J., Auslander, L., Rabinson, S. (1985) Fourth pharyngeal pouch sinus. Laryngoscope1, 95: 1114–1117.CrossRefGoogle Scholar
Sandborn, W. D., Shafer, A. D. (1972) A branchial cleft cyst fourth pouch origin. Journal of Pediatric Surgery, 7: 82.CrossRefGoogle ScholarPubMed
Shugar, M. A., Healy, G. B. (1980) The fourth branchial cleft anomaly. Head and Neck Surgery, 3: 72–75.CrossRefGoogle ScholarPubMed
Taylor, W. L., Myer, C. M., Hays, L. L., Cotton, R. T. (1982) Acute suppurative thyroiditis in children. Laryngoscope, 92: 1269–1273.CrossRefGoogle ScholarPubMed
Tovi, F., Gatot, A., Bar-Ziv, J., Yanay, I. (1985) Recurrent suppurative thyroiditis due to fourth branchial pouch sinus. International Journal of Pediatric Otorhinolaryngology, 9: 89–96.CrossRefGoogle ScholarPubMed
Tuker, H. M., Skolnick, M. L. (1973) Fourth branchial cleft (pharyngeal pouch) remnant. Transactions of the American Academy of Ophthalmology and Otolaryngology, 77: 368–371.Google Scholar