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Related Experiment Video

Updated: Jul 18, 2025

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
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Complete Second Branchial Fistula: A Rare Entity.

Ishan Chauhan1, Sheetal Thakur1

  • 1Shimla, Himachal Pradesh India IGMC.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|August 28, 2023
PubMed
Summary

Complete branchial fistula, a rare congenital anomaly, presents as a lateral neck mass in children. This case highlights diagnosis via CT fistulogram and successful surgical excision, improving patient quality of life.

Keywords:
CT FistulogramComplete second branchial fistulaStepladder incision

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Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Head and Neck Surgery

Background:

  • Second branchial anomalies, including cysts, sinuses, and fistulas, are common lateral neck masses in pediatric patients.
  • Complete branchial fistulas, characterized by both external and internal openings, are rare occurrences.

Purpose of the Study:

  • To present a rare case of a complete branchial fistula in a pediatric patient.
  • To emphasize the diagnostic utility of CT fistulogram and the efficacy of surgical management.

Main Methods:

  • A case study of a 16-year-old female with a complete branchial fistula.
  • Diagnosis was confirmed using CT fistulogram.
  • Surgical excision of the fistula was performed under general anesthesia.
  • Histopathology confirmed the diagnosis.

Main Results:

  • The patient was diagnosed with a complete branchial fistula.
  • CT fistulogram effectively visualized the fistula's anatomy.
  • Surgical excision resulted in a confirmed diagnosis via histopathology.
  • The management improved the patient's quality of life.

Conclusions:

  • In pediatric patients with lateral neck masses and an external opening, branchial fistula should be strongly considered.
  • Timely diagnosis and surgical management are crucial for improving outcomes and quality of life.