Three cases of branchial fistula in one family: a rare presentation

Authors

  • Rupa Mehta Department of ENT, AIIMS, Raipur, Chhattisgarh, India
  • Jyoti Ranjan Das Department of ENT, AIIMS, Raipur, Chhattisgarh, India
  • Nitin M. Nagarkar Department of ENT, AIIMS, Raipur, Chhattisgarh, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20193898

Keywords:

Branchial fistula, Cysts, Step ladder incision

Abstract

Branchial cleft anomalies comprise approximately 30% of congenital neck mass and present as cyst, sinus or fistula. They occur due to disturbance in the maturation of the branchial apparatus during fetal development. They are congenital lesions usually present in childhood, but they are usually diagnosed in later childhood or early adulthood because of enlargement or infection. Branchial cleft fistulae are usually diagnosed earlier than cysts. Correct diagnosis leads to proper management. Complete surgical excision is the treatment of choice. Second branchial cleft and pouch anomalies are commonest amongst all branchial cleft lesions, but complete second branchial cleft anomalies with external and internal opening is rare. Branchial anomalies with family history are also very rare. Here we present a case report of complete branchial fistula with family history which was managed by complete excision of fistula through transcervical and transoral approaches. 3 members of one family in 2 generations presented with branchial apparatus anomalies (father and his two children, elder son and younger daughter). All of them were having branchial fistula on right side of neck since birth.

References

Simpson RA. Lateral cervical cysts and fistulae. Laryngoscope. 1969;79:30-59.

Acierno SP, Waldhausen JH. Congenital cervical cysts, sinuses, and fistulae. Otolaryngol Clin N Am. 2007;40:161-76.

Enepekides DJ. Management of congenital anomalies of the neck. Facial Plast Surg Clin North Am. 2001;9:131-45.

Proctor B, Proctor C. Congenital lesion of the head and neck. Otolaryngol Clin N Am. 1970;3:221-48.

Chandler R, Mitchell B. Branchial cleft cysts, sinuses, and fistulas. Otolaryngol Clin N Am. 1981;14:175-86.

Waldhausen JHT. Branchial cleft and arch anomalies in children. Semin Pediatr Surg. 2006;15:64-9.

Ford GR, Balakrishnan A, Evans JNG, Bailey CM. Branchial cleft and pouch anomalies. J Laryngol Otol. 1992;106:137-43.

Taylor PS, Bicknell PG. Branchial cleft cysts, sinuses, and fistulaslaryngolotol. Laryngol Otol. 1977;61:141.

Anand TS, Anand CS, Chaurasia BD. Seven cases of branchial cyst and sinuses in four generations. Hum Hered. 1979;29:213–6.

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Published

2019-08-27