Related Experiment Video
Updated: Jul 18, 2025
07:30
Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
7.6K
Complete Second Branchial Cleft Fistulas: A Clinicosurgical Experience
Suhail Amin Patigaroo1, Waqar Ul Hamid1, Sahil Ahmed1
1Department of ENT, Government Medical College Srinagar, Srinagar, JK India.
Summary
Complete second branchial fistulas are rare congenital anomalies, typically presenting with neck discharge. Surgical excision is effective, with no recurrences observed in this study of 20 patients.
Area of Science:
- Otolaryngology
- Surgical Anatomy
- Pediatric Surgery
Background:
- Complete second branchial fistula is a rare congenital anomaly.
- Characterized by an internal opening in the tonsillar fossa and an external opening in the sternocleidomastoid (SCM) muscle.
- Patients often present with mucoid or mucopurulent discharge from the external opening.
Purpose of the Study:
- To inform young Ear, Nose, and Throat (ENT) surgeons about clinical and intraoperative findings in complete second branchial fistula cases.
- To document surgical outcomes and recurrence rates.
Main Methods:
- Observational study over 10 years, including 20 patients with complete second branchial fistulas.
- Surgical excision via a combined transcervical and transoral approach under general anesthesia.
- One-year follow-up to assess for recurrence.
Main Results:
- 20 patients included; 13 female, 7 male. Most common symptom: fistulous opening with intermittent discharge (75%).
- Fistulas were predominantly right-sided (78%) and unilateral (90%).
- The tract typically passed lateral to the glossopharyngeal nerve and ended at the posterior tonsillar pillar; tonsillectomy was not always necessary.
Conclusions:
- Complete second branchial fistulas are rare, often right-sided and unilateral.
- Surgical excision is an effective treatment with no observed recurrences at one year.
- Understanding the anatomical course is crucial for successful surgical management.
Related Concept Videos
01:28Esophageal Perforation-II: Clinical Manifestations and Management
88
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
88
01:26Esophageal Strictures-II: Clinical Features and Management
103
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
103
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
10
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
10