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An extremely rare case of adult with first branchial cleft fistula: Case report
INTRODUCTION: Anomalies of the first branchial cleft are rare and represent 10% of lateral cervical malformations. Very few cases have been described in literature. In our research, we didn't find cases of adults with first branchial cleft fistulas. First branchial cleft fistulas in adults are...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8463818/ https://www.ncbi.nlm.nih.gov/pubmed/34603713 http://dx.doi.org/10.1016/j.amsu.2021.102807 |
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author | Lendoye, Wilfrid |
author_facet | Lendoye, Wilfrid |
author_sort | Lendoye, Wilfrid |
collection | PubMed |
description | INTRODUCTION: Anomalies of the first branchial cleft are rare and represent 10% of lateral cervical malformations. Very few cases have been described in literature. In our research, we didn't find cases of adults with first branchial cleft fistulas. First branchial cleft fistulas in adults are difficult to diagnosticate, and the surgery of the parotid gland to extract the fistula requires to be precautious. CASE PRESENTATION: The aim of this work is to present an extremely rare case of a 65 years-old patient with first branchial cleft fistula. Fistula excision surgery completed with superficial parotidectomy were performed. No sign of recurrency were found after 6 months surveillance. DISCUSSION: First branchial cleft fistula is hard to diagnosticate, especially with adults. Very few cases of adult male are described in the literature. It is often misdiagnosed with parotid tumours or as otitis with ear drainage. The treatment of First branchial cleft fistula is surgical. A complete resection of the tract is necessary to prevent recurrency. It usually requires a superficial parotidectomy and the fistula tract passes under the parotid gland. CONCLUSION: First branchial cleft fistulas are rare, and forms with adults are extremely rare to encounter. Imagery can't always help to diagnosis. Surgery is indicated in the management of this pathology, with preservation of the facial nerve. |
format | Online Article Text |
id | pubmed-8463818 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-84638182021-10-01 An extremely rare case of adult with first branchial cleft fistula: Case report Lendoye, Wilfrid Ann Med Surg (Lond) Case Report INTRODUCTION: Anomalies of the first branchial cleft are rare and represent 10% of lateral cervical malformations. Very few cases have been described in literature. In our research, we didn't find cases of adults with first branchial cleft fistulas. First branchial cleft fistulas in adults are difficult to diagnosticate, and the surgery of the parotid gland to extract the fistula requires to be precautious. CASE PRESENTATION: The aim of this work is to present an extremely rare case of a 65 years-old patient with first branchial cleft fistula. Fistula excision surgery completed with superficial parotidectomy were performed. No sign of recurrency were found after 6 months surveillance. DISCUSSION: First branchial cleft fistula is hard to diagnosticate, especially with adults. Very few cases of adult male are described in the literature. It is often misdiagnosed with parotid tumours or as otitis with ear drainage. The treatment of First branchial cleft fistula is surgical. A complete resection of the tract is necessary to prevent recurrency. It usually requires a superficial parotidectomy and the fistula tract passes under the parotid gland. CONCLUSION: First branchial cleft fistulas are rare, and forms with adults are extremely rare to encounter. Imagery can't always help to diagnosis. Surgery is indicated in the management of this pathology, with preservation of the facial nerve. Elsevier 2021-09-11 /pmc/articles/PMC8463818/ /pubmed/34603713 http://dx.doi.org/10.1016/j.amsu.2021.102807 Text en © 2021 The Author https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Lendoye, Wilfrid An extremely rare case of adult with first branchial cleft fistula: Case report |
title | An extremely rare case of adult with first branchial cleft fistula: Case report |
title_full | An extremely rare case of adult with first branchial cleft fistula: Case report |
title_fullStr | An extremely rare case of adult with first branchial cleft fistula: Case report |
title_full_unstemmed | An extremely rare case of adult with first branchial cleft fistula: Case report |
title_short | An extremely rare case of adult with first branchial cleft fistula: Case report |
title_sort | extremely rare case of adult with first branchial cleft fistula: case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8463818/ https://www.ncbi.nlm.nih.gov/pubmed/34603713 http://dx.doi.org/10.1016/j.amsu.2021.102807 |
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