A FIRST BRANCHIAL CLEFT FISTULA: A CASE REPORT AND LITERATURE REVIEW
Authors:
Solon Politis1, Asterios Antoniou1, Nikoleta Pasteli2, Christos Giankoulof3, Ioannis Astreidis Sofianos1, Konstantinos Vahtsevanos1
Affiliation:
1 Department of Oral and Maxillofacial Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece
2 Department of Histopathology, General Hospital Papanikolaou, Thessaloniki, Greece
3 Department of Radiology, General Hospital Papanikolaou, Thessaloniki, Greece
Doi: 10.54936/haoms242p39
ABSTRACT:
Objectives: The first branchial cleft fistula is a congenital developmental disorder, arising from the first branchial arch, and is located just in front of the pinna up to the upper neck extremities. The Work classification of type II refers to the fistula that involves parotid tissue. The aim of this case report is to confirm the rarity of the condition, to compare it with the current literature data, as less than 10 articles are reported in the literature.
Materials and Methods: A 47-year-old male patient was was referred to University Oral and Maxillofacial Surgery Department, due to a long term, since childhood, recurrent preauricular and neck skin infections. A CT syringography revealed a fistula starting from the external auditory canal ,through the parotid tissue, and ending in submandibular skin region. It was decided the fistula to be excised under general anesthesia, and partial parotidectomy was performed. The result of the histological examination concluded to a branchial tissue.
Results: The patient so far by now has an uneventful postoperative follow up, and no infectious relapse occurred, so that a permanent solution was gave to a perennial lesion surgically.
Conclusion: According to the literature, first branchial cleft fistula is a trully rare medical condition. The diagnosis, the imaging processes, the surgical treatment, is not as usual as in other infectious conditions. The rarity of this congenital disease is confirmed by cross-checking the literature data, so that this case report adds important information to the existing data.
KEY WORDS:
Authors:
Solon Politis1, Asterios Antoniou1, Nikoleta Pasteli2, Christos Giankoulof3, Ioannis Astreidis Sofianos1, Konstantinos Vahtsevanos1
Affiliation:
1 Department of Oral and Maxillofacial Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece
2 Department of Histopathology, General Hospital Papanikolaou, Thessaloniki, Greece
3 Department of Radiology, General Hospital Papanikolaou, Thessaloniki, Greece
Doi: 10.54936/haoms242p39
ABSTRACT:
Objectives: The first branchial cleft fistula is a congenital developmental disorder, arising from the first branchial arch, and is located just in front of the pinna up to the upper neck extremities. The Work classification of type II refers to the fistula that involves parotid tissue. The aim of this case report is to confirm the rarity of the condition, to compare it with the current literature data, as less than 10 articles are reported in the literature.
Materials and Methods: A 47-year-old male patient was was referred to University Oral and Maxillofacial Surgery Department, due to a long term, since childhood, recurrent preauricular and neck skin infections. A CT syringography revealed a fistula starting from the external auditory canal ,through the parotid tissue, and ending in submandibular skin region. It was decided the fistula to be excised under general anesthesia, and partial parotidectomy was performed. The result of the histological examination concluded to a branchial tissue.
Results: The patient so far by now has an uneventful postoperative follow up, and no infectious relapse occurred, so that a permanent solution was gave to a perennial lesion surgically.
Conclusion: According to the literature, first branchial cleft fistula is a trully rare medical condition. The diagnosis, the imaging processes, the surgical treatment, is not as usual as in other infectious conditions. The rarity of this congenital disease is confirmed by cross-checking the literature data, so that this case report adds important information to the existing data.
KEY WORDS: