Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 1991; 2(1):106-110

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1991.2.1.106

임상

완전 경부 새루(鰓瘻)의 1례

이영희¹, 손재일¹, 곽창호¹, 박해수¹

A Case of Complete Branchial fistula

Young Hee Lee¹, Je Il Son¹, Chang Ho Kwack¹, Hae Soo Pack¹

¹마산고려병원

¹Department of Otolaryngology, Masan Koryo General Hospital

© Copyright 1991 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

Abstract

Branchial anomalies are observed any time from birth to old age. Sinuses, cysts, fistulae and cartilaginous nest are their most common manifestation, the sinuses and fistulae are usually noted during infant and young childhood. In contrast, cysts require more time to produce palpable masses，and often are not diagnosed until later childhood.

Authors report a case of complete branchial fistula with an outer and inner opening in a nine-year-old boy. External examination revealed a very small and inconspicous opening situating on the anterior border of the right sternocleidomastoid muscle at the level of lower one third of the neck，and small amount of mucous discharge from the opening was noticed. Fistu-logram using contrast media through the opening demonstrates a distinct fistulous tract extending all the way up to the region of the supratonsillar fossa.

The fistula was extirpated completely by stepladder technique, and the diagosis was confirmed by histopathological study.

Keywords: Branchial remnants; Branchial anomalies; Congenital anomalies