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A new fistulectomy method for the second pharyngeal arch remnants
Takehito Oshio1, Hirotaka Nakamizo, Kozo Yoshikawa
1Department of Pediatric Surgery, National Kagawa Children's Hospital, Kagawa 765-8501, Japan. oshio@kagawasyoni.hosp.go.jp
Purpose:
We present a new fistulectomy method for the second pharyngeal arch remnants.
Materials And Methods:
Between 1991 and 2003, 4 patients have been treated with a new fistulectomy method.
Surgical Procedure:
Under general anesthesia with nasotracheal intubation, the neck and mouth are prepared as one operative field. A nylon thread is inserted into the cervical opening. On the oral site of the nylon thread, a small gauze ball is tied and gently pulled from the neck site. At both opening sites of the fistula, a very small incision around the nylon thread is performed. Using the nylon thread as a guide, a fistulectomy is carried out.
Results:
In all 4 patients, no complications have occurred during and after the fistulectomy. No recurrences were seen during 15 months to 9 years.
Conclusions:
This is a simple and useful procedure for the treatment of second pharyngeal arch remnants. It produces an excellent cosmetic result compared with the standard method because only one small incision is necessary.
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