JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (3): 61-64.doi: 10.6040/j.issn.1673-3770.0.2016.041

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Diagnosis and treatment of the third branchial cleft fistula: a clinical report of 6 cases and literature review.

LI Qingming, WU Sien, HUANG Suhong, CAO Huotai, HUANG Suihua, YAO Tingting, LIU Qihong   

  1. Department of Otolaryngology &Head and Neck Surgery, Fourth Peoples Hospital of Shenzhen, Shenzhen 518033, Guangdong, China
  • Received:2016-01-27 Online:2016-06-16 Published:2016-06-16

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Abstract: Objective To investigate the clinical characteristics, diagnosis and therapy of the third branchial cleft fistula. Methods Clinical data of 6 cases of third barnchial cleft fistula were retrospectively reviewed, and related literatures were reviewed. Multi-slice spiral computerized tomography(MSCT)and fistula iodinated contrast media revealed the whole fistula and the opening of pyriform sinus of internalfistula. Third branchial cleft fistula was completely excised with functional neck dissection under general anesthesia. Results Of all 6 cases, 3 were misdiagnosed, 2 as neck abscess, and 1 as subacute thyroiditis. There was no recurrence during the follow-up of more than 10 months. Conclusion MSCT and fistula iodinated contrast media can reveal the whole fistula, which is accurate and simple for the diagnosis, and safe for the complete surgical resection of fistula. Functional neck dissection is an effective and safe surgical management for third branchial cleft fistula.

Key words: Functional neck dissection, Branchial fistula, Pyriform sinus, Misdiagnosis

CLC Number: 

  • R739
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