First Branchial Arch Fistula:
A Rarity and a Surgical Challenge
Published: June 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.8019
J.S. Rajkumar, Deepa Ganesh, J.R. Anirudh, S. Akbar, Niraj Joshi
1. Chairman & Advanced Laparoscopic Surgeon, Department of Minimal Access Surgery, LifeLine RIGID Hospitals, Kilpauk, Chennai, India.
2. Consultant Laparoscopic Surgeon, Department of Minimal Access Surgery, LifeLine RIGID Hospitals, Kilpauk, Chennai, India.
3. Assistant Surgeon, Department of Minimal Access Surgery, LifeLine RIGID Hospitals, Kilpauk, Chennai, India.
4. Assistant Surgeon, Department of Minimal Access Surgery, LifeLine RIGID Hospitals, Kilpauk, Chennai, India.
5. Consultant ENT Surgeon, Department of ENT, LifeLine RIGID Hospitals, Kilpauk, Chennai, India.
Correspondence
Dr. Deepa Ganesh,
51 A Medavakkam Tank Road, Kilpauk Chennai-600010, India.
E-mail: drdeepa@gmail.com
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.
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