Branchial Fistulas—A Rare Entity in Pediatric Otorhinolaryngology: Current Management Protocols and Review of Literature

JOURNAL TITLE: International Journal of Head and Neck Surgery

Author
1. Nongthomban Pinky Devi
2. Sherry Joseph
3. Pooja Nayak
4. Shankarnarayan Bhat
5. Ravishankar S Bhat
6. Sudhir M Naik
7. Mohan Appaji
8. MK Goutham
9. KV Chidananda
ISSN
0975-7899
DOI
10.5005/jp-journals-10001-1194
Volume
5
Issue
3
Publishing Year
2014
Pages
4
Author Affiliations
    1. Department of ENT and Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India
    1. Department of ENT, Head and Neck Surgery KVG Medical College, Sullia, Karnataka, India
    1. Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India
    1. Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India
    1. Department of General Surgery, KVG Medical College, Sullia Karnataka, India
    1. Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India
    1. Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India
    1. Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India
    1. Department of Anesthesia, KVG Medical College, Sullia Karnataka, India
  • Article keywords

    Abstract

    Background/objectives

    Surgical managements which form the mainstay of these branchial apparatus anomalies are based on accurate understanding of the embryology and surgical anatomy. The conspicuous scarring in the young which becomes conspicuous as the age advances are reduced by newer approaches, the facelift approach, retroauricular approach and endoscope-assisted neck approach.

    Case report

    A retrospective case series analysis of eight patients with complete fistula managed by the combined trans cervical approach. The recurrence was nil, with good surgical access and minimal scar at the incision site.

    Conclusion

    Combined transcervical approach is the conventional procedure of choice for branchial fistulas. While retroauricular hairline incision (RAHI) approach and endo-scopic approaches need expertise and more instrumentation, meticulous cosmetic surgery techniques helps reduces scars of the transcervical approach.

    How to cite this article

    Bhat RS, Naik SM, Goutham MK, Bhat S, Appaji M, Chidananda KV, Devi NP, Joseph S, Nayak P. Branchial Fistulas—A Rare Entity in Pediatric Otorhinolaryngology: Current Management Protocols and Review of Literature. Int J Head Neck Surg 2014;5(3):108-111.

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