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Bilateral Second Arch Branchial Fistula-A Case Report.
Liang-Chye Goh1, Roslim-Siti Norain1, Zulkifli Shifa2
1Department of Otorhinolaryngology, University of Malaya Medical Center, Kuala Lumpur, Malaysia.
Iranian Journal of Otorhinolaryngology
|December 21, 2019
Summary
This study presents a rare case of a complete bilateral second arch branchial fistula in a child. The bilateral stepladder approach proved effective for surgical excision, highlighting its potential for treating such congenital anomalies.
Area of Science:
- Developmental Biology
- Surgical Oncology
Background:
- Branchial arch anomalies are congenital defects resulting from persistent embryonic structures in the head and neck.
- These anomalies typically manifest as unilateral lesions in children and young adults, often requiring surgical intervention due to complications.
Observation:
- A rare case of a 4-year-old child with a complete bilateral second arch branchial fistula is detailed.
- The condition involved symmetrical fistulas on both sides of the neck.
Findings:
- Surgical excision was successfully performed using a bilateral stepladder approach combined with tonsillectomy.
- This technique was found to be a feasible method for addressing complete bilateral branchial fistulas.
Implications:
- The bilateral stepladder approach offers a viable surgical option for complete bilateral branchial fistulas.
- Further research with larger studies is recommended to refine surgical techniques and improve cosmetic outcomes for bilateral branchial fistula excision.
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