Publication: Nonsyndromic Complete Second Branchial Cleft Fistulas: A Clinicosurgical Experience
Date
2025
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Branchial cleft anomalies are congenital malformations resulting from the
abnormal persistence of branchial clefts during embryogenesis, often presenting
as cysts, sinuses, or fistulae. These anomalies account for approximately 20% of
pediatric head and neck masses, with bilateral cases being particularly rare. This
report discusses a case of an 11-year-old boy with complete bilateral second
branchial cleft fistulae, characterized by intermittent mucopurulent discharge and
recurrent inflammation, primarily following upper respiratory infections. Diagnostic
imaging, including CT scans, confirmed the presence of bilateral fistulous tracts.
Surgical management involved a combined transoral and transcervical approach,
including bilateral tonsillectomy and complete excision of the fistulous tracts. The
procedure resulted in successful removal of the anomalies without postoperative
complications. This case emphasizes the importance of thorough diagnostic
evaluation and the effectiveness of complete surgical excision in managing bilateral
branchial cleft anomalies to prevent recurrence and improve patient outcomes.
Further research is warranted to optimize surgical techniques and postoperative
results.
KEY WORDS
Congenital neck mass, Excision, Second branchial cleft fistula
Description
Ghimire SB, Dhakal A, Pandey A, Vaidya S
Department of Otorhinolaryngology-Head and Neck Surgery
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
Keywords
Congenital neck mass, Excision, Second branchial cleft fistula