Volume : VI, Issue : II, February - 2017

COMPLETE SECOND BRANCHIAL ARCH FISTULA: A CASE REPORT

Solanki Kunal G. , Deshpande Amit A. , Mangal Ritema

Abstract :

 The anchial cyst, fistula, and sinuses are the anomalies of the anchial apparatus which consists of five mesodermal arches separated by invaginations of the ectoderm called as clefts. The anchial fistula is not a true fistula as it rarely has two openings. More often even if both ends are patent there is a thin memane covering the internal opening. Demonstration of a complete anchial fistula on imaging studies is uncommon. We present a case of a complete anchial fistula in a young boy, its clinical presentation, imaging reports and surgical outcome.

 

 

 

 

 

 

 

 

 

 

 

CASE REPORT

A 6–year–old male patient presented with history of discharge from the right–hand side of neck on and off since birth. There was no history of trauma or operative intervention. Local examination revealed a pinhead opening along the anterior border of sternocleidomastoid on the right–hand side of lower third of neck. There was no sign of inflammation around the opening.

A fistulogram study was done using iodinated contrast media, which revealed a tract coursing cranially up to the level of right angle of mandible. Patient had gag reflex and could taste the contrast, as the contrast was injected in the caudal fistulous opening, indicating the patent cranial opening in oral cavity or oropharynx (Figure 1)

 A contrast enhanced CT fistulogram was done to delineate the exact course of tract before surgery. It revealed a contrast–delineated tract coursing anterior to the right sternocleidomastoid muscle, between internal and external carotid arteries and finally ending at the right tonsillar fossa (Figures 2, 3 and 4). Based on imaging and the clinical history a diagnosis of anchial fistula of second anchial arch was made.

The patient was operated for the fistula with step ladder approach. 

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Solanki Kunal G., Deshpande Amit A., Mangal Ritema, COMPLETE SECOND BRANCHIAL ARCH FISTULA: A CASE REPORT, INTERNATIONAL JOURNALOF SCIENTIFIC RESEARCH : VOLUME-6 | ISSUE-2 | FEBRUARY-2017

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