Unusual neck sinus--first or second cleft?
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Updated: Jul 3, 2026

Method of Studying Palatal Fusion using Static Organ Culture
Published on: September 19, 2015
S V S Soundappan1, Hugh Martin, Daniel T Cass
1Department of Academic Surgery, The Children's Hospital at Westmead, Westmead, Sydney, New South Wales 2145, Australia. ss@chw.edu.au
Abstract:
A sinus tract presenting with an opening around the angle of mandible is suggestive of first cleft remnant. We present the case of a 4-year-old boy with a recurrent discharging sinus around the angle of the right mandible whose internal opening was near the tonsil on imaging. Complete excision was performed with facial nerve monitoring. We discuss technical aspects of the surgery and possible embryology.
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