Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Table of Contents - Year : 2016 | Month : June | Volume : 10 | Issue : 6 | Page : PD19 - PD21

First Branchial Arch Fistula: A Rarity and a Surgical Challenge PD19-PD21

J.S. Rajkumar, Deepa Ganesh, J.R. Anirudh, S. Akbar, Niraj Joshi

Dr. Deepa Ganesh,
51 A Medavakkam Tank Road, Kilpauk Chennai-600010, India.

Although 2nd Branchial arch fistulae (from incomplete closure of Cervical sinus of His) are well known, 1st 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.