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Updated: Jun 27, 2026

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Branchial fistula: a rare presentation
Syed Nadeem Uddin Naqvi1, Syed Nusrat Raza, Qazi Ahsan Azeem
1Department of ENT, Combined Military Hospital, Lahore.
Abstract:
Remains of cervical sinus of His may persist as a branchial cyst. A branchial sinus is formed when 2nd branchial arch fails to meet the 5th pharyngeal arch. Peak age for presentation of cysts is in the third decade and that of the congenital sinuses and fistulae is at birth. Rarely a branchial sinus is found to have an internal opening as well, thus forming a true branchial fistula. We present a case of true branchial fistula with external opening on the lateral side of neck and internal opening near the lower pole of tonsil.
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