International Journal of Head and Neck Surgery

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VOLUME 8 , ISSUE 4 ( October-December, 2017 ) > List of Articles

CASE REPORT

Collaural Fistula: A Diagnostic Challenge

Sachana Prasad, Amitabha Roychoudhury, Soumitra Ghosh

Keywords : Collaural fistula, CT fistulogram,Branchial cleft anomalies

Citation Information : Prasad S, Roychoudhury A, Ghosh S. Collaural Fistula: A Diagnostic Challenge. Int J Head Neck Surg 2017; 8 (4):153-156.

DOI: 10.5005/jp-journals-10001-1326

License: CC BY-NC 4.0

Published Online: 00-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: To emphasize on a comprehensive approach for correct diagnosis and treatment of first branchial cleft anomalies. Background: First branchial cleft anomalies are congenital malformations accounting for less than 8% of all branchial cleft anomalies. Case Description: We report a case of a 55-year-old female with a discharging collaural fistula that was misdiagnosed earlier and treated with repeated incision and drainage. Diagnosis was confirmed by history and CT fistulogram and the lesion was completely excised with no further recurrences. Conclusion: Due to the varied presentations of the first branchial cleft defects, a compartmentalized approach by the clinician may lead to misdiagnosis and incorrect treatment. Clinical Significance: The rare occurrence and diverse clinical presentations of these embryological defects have led to frequent delay in diagnosis as well as inadequate treatment. Correct diagnosis at primary presentation should be advocated for such rare entities.


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  1. Olsen KD, Maragos NE, Weiland LH. First branchial cleft anomalies. Laryngoscope. 1980 Mar;90(3):423-436.
  2. D'Souza AR, Uppal HS, De R, Zeitoun H. Updating concepts of first branchial cleft defects: a literature review. Int J Pediatr Otorhinolaryngol. 2002 Feb 1;62(2):103-109.
  3. Benson MT, Dalen K, Mancuso A, Kerr HH, Cacciarelli A, Mafee MF. Congenital anomalies of the branchial apparatus: embryology and pathologic anatomy. Radiographics. 1992 Sep;12(5):943-960.
  4. Solares C A, Chan J, Koltai P J. Anatomical variations of the facial nerve in rst branchial cleft anomalies. Arch Otolaryngol. 2003; 129(3):351-355
  5. Arnot R S. Defects of the first branchial cleft. South Afr J Surg. 1971;9(2): 93–98.
  6. Work WP. Newer concepts of first branchial cleft defects. Laryngoscope. 1972 Sep;82(9):1581-1593.
  7. Triglia JM, Nicollas R, Ducroz V, Koltai PJ, Garabedian EN. First branchial cleft anomalies: a study of 39 cases and a review of the literature. Arch Otolaryngol–Head Neck Surg. 1998 Mar 1;124(3):291-295.
  8. Sichel JY, Halperin D, Dano I, Dangoor E. Clinical update on type II first branchial cleft cysts. Laryngoscope 1998;108:1524-1527.
  9. Yalcin S, Karlidag T, Kaygusuz I, Demirbag E. First branchial cleft sinus presenting with cholesteatoma and external auditory canal atresia. Int J Pediatr Otorhinolaryngol 2003;67:811-814.
  10. Stokroos RJ, Manni JJ. The double auditory meatus – rare first branchial cleft anomaly: clinical presentation and treatment. Am J Otol 2000;21: 837-841.
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