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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 23(1); 1980 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1980;23(1): 125-9.
A Case of Complete Branchial Fistula Originating from 2nd Branchial Cleft
Kwang Hyun Kim, MD
Department of Otolaryngology, Naval HQ Base Hospital, Korea
完全側頸鰓瘻의 1症例
海軍本部基地病院 耳鼻咽喉科

Remnants of the embryologic branchial apparatus that persist into postnatal life produce an array of abnormalities in and around ear and down the lateral aspect of the neck. Sinuses, cysts, fistulae and cartilaginous nest are their most common manifestations. 2nd branchial remnants are much more common than any other derivatives of the 1st branchial cleft. 3rd and 4th branchial cleft abnormalities are extremely rare. The sinuses, fistulae and cartilaginous remnants usually are noted during infancy and young childhood. In contrast, cysts require more time to fill with secretions and produce visible masses, and often are not diagnosed until later childhood. Author reports a case of complete branchial fistula which was attested by a fistulogram using contrast dye into the fistula. The patient was 21 years old and symptoms were developed only several months prior to admission. The fistula was extirpated completely from its external ostium to tonsillar fossa by stepladder technique. The histological examination revealed the internal surface lined with pseudostratified columnar epithelium which was uncommon in branchial fistula.

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