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
[1] Goff C J, Allred C, Glade R S. Current management of congenital branchial cleft cysts, sinuses, and fistulae[J]. Curr Opin Otolaryngol Head Neck Surg, 2012, 20(6):533-539.
[2] Prosser J D, Myer C M. Branchial cleft anomalies and thymic cysts[J]. Otolaryngol Clin North Am, 2015, 48(1):1-14.
[3] Süslü N, Süslü A E, Akyol U, et al. Minimally invasive endoscope-assisted surgery for bilateral branchial cleft fistula[J]. Laryngoscope, 2013, 123(9):2296-2299.
[4] Zaifullah S, Yunus M R, See G B. Diagnosis and treatment of branchial cleft anomalies in UKMMC: a 10-year retrospective study[J]. Eur Arch Otorhinolaryngol, 2013, 270(4):1501-1506.
[5] 张小萌, 孔维佳, 杨成章, 等. 功能性颈清扫术在复发性鳃裂畸形治疗中的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2010, 24(6):247-249. ZHANG Xiaomeng, KONG Weijia, YANG Chengzhang, et al. Utilization of functional neck dissection for treatment of recurrent branchial cleft anomalies[J]. J Clin 0torhinolaryngol Head Neck Surg, 2010, 24(6):247-249.
[6] Cai Q, Pan Y, Xu Y, et al. Resection of recurrent branchial cleft deformity using selective neck dissection technique[J]. Int J Pediatr Otorhinolaryngol, 2014, 78(7):1071-1073.
[7] 吴煜农. 颈清扫术式治疗复发性第二鳃裂瘘及囊肿[J]. 口腔医学杂志, 2002, 22(3):163-164. WU Yunong. Neck dissection technique for treatment of recurrent branchial cleft fistula and cysts[J]. J Stomatol, 2002, 22(3):163-164.
[8] 张威, 梁勇, 李湘平, 等. 第三腮裂瘘管的诊治分析: 附病例报告[J]. 中国全科医学, 2012, 15(36):4225-4227. ZHANG Wei, LIANG Yong, LI Xiangping, et al. Diagnosis and Treatment of Third Branchial Fistula[J]. Chin Gen Prac, 2012, 15(36):4225-4227.
[9] 柯赛雄, 李仁济. 选择性颈清扫术在复发性第二三鳃裂瘘管术中的应用[J]. 临床耳鼻咽喉科杂志, 2005, 19(4):183-184. KE Saixiong, LI Renji. Utilization of selective neck dissection technique for treatment of recurrent second or third branchial cleft fistula[J]. J Clin Otorhinolaryngol Head Neck Surg, 2005, 19(4):183-184.
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