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