Guide-assisted excision of the second branchial cleft fistula: a technical strategy
Sedat Aydın1, Mehmet Gökhan Demir2
1Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi Kulak Burun Boğaz Kliniği, İstanbul, Türkiye
2Prof. Dr. Celal Ertuğ Etimesgut Devlet Hastanesi Kulak Burun Boğaz Kliniği, Ankara, Türkiye
Keywords: Congenital neck masses, guide-assisted method, second branchial fistula, surgical excision.
Abstract
Congenital neck masses are frequently observed neck masses; branchial anomalies constitute one of the most common reason. The most common branchial anomaly is type 2 lesions and majority of them are constituted by cysts. Branchial cleft fistula is rarely observed and appears with recurrent discharges in the clinic. The main treatment method is the exact surgical excision of the fistula tract. There are many methods defined for this purpose but the gold standard method is not found yet. Particularly, there are difficulties in the surgery, therefore fistula tract passes to important neurovascular tissues. Thus, we made apparent the fistula tract by using the lacrimal probe during the operation and excised it surgically. The patient’s fistula was excised in an uncomplicated and safe way with this method.