Abstract
First Branchial Cleft Fistula - A Presentation on Two Cases and Review of Literature
Highlights
First Branchial Cleft Anomalies are relatively rare congenital malformations of the head and neck
A wide range of clinical manifestations may be observed, but they are usually masked by the occurrence of moderate infections
The principle of management of first Branchial Cleft Anomalies is basically early diagnosis of condition to be able to plan a complete excision without facial nerve injury
Summary
First Branchial Cleft Anomalies are relatively rare congenital malformations of the head and neck. Histological examination of the excised fistula sent routinely confirmed the diagnosis of branchial cleft fistula. On a closer look a small sinus opening in the left submandibular area just in front of the angle of mandible (Figure 8) was found. The CT fistulogram revealed a fistulous tract about 6 cm long, extending along the floor of the left external auditory canal, looping around left ear lobule, extending straight through left parotid gland parenchyma, and ending at left external opening at the level of the angle of the mandible. Both parotid glands appeared normal, the diagnosis of first branchial cleft fistula was confirmed. The patient was advised excision of the fistulous tract with superficial parotidectomy, the parents of the child opted to be treated elsewhere and the patient was lost to follow up
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