Open AccessFirst Branchial Arch Fistula: A Rarity and a Surgical Challenge
Author(s) -
J. S. Rajkumar,
Deepa Ganesh,
J R Anirudh,
S Akbar,
Niraj Prakash Joshi
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/16730.8019
Subject(s) - medicine , fistula , arch , surgery , sinus (botany) , resection , branchial arch , closure (psychology) , anatomy , biology , engineering , embryo , civil engineering , botany , economics , market economy , genus , microbiology and biotechnology
Although 2(nd) Branchial arch fistulae (from incomplete closure of Cervical sinus of His) are well known, 1(st) arch fistulae are much rarer (<10%) and are usually not tackled comprehensively. We present a case of a rare first branchial arch fistula of the type II Arnot classification, which presented with two external openings of more than 20 years duration. Patient had a successful resection of all the concerned fistulous tract. Review of literature and the surgical challenges of the procedure are presented herewith.