Pull-through Branchial Fistulectomy: A Technique for the Otolaryngologist

Abstract

The complete second branchial fistula consists of a superficial infrahyoid portion and a deep parapharyngeal portion. Through the present technique, the infrahyoid portion is dissected from the neck while the parapharyngeal segment is dissected through the mouth with or without tonsillectomy. Eventually, the whole fistula is pulled out through the mouth. This technique ensures complete fistulectomy and a low recurrence rate, is more cosmetic than the traditional technique, and allows simultaneous tonsillectomy. It may not be satisfactory if the fistula was the seat of repeated infections. This technique is suitable for the otolaryngologist, who is naturally well acquainted with microsurgery and tonsillectomy.

Keywords

branchial fistula branchial system fistulectomy

Get full access to this article

View all access options for this article.

References

Gray

Skandalakis

. The pharynx and its derivatives. In: Gray

Skandalakis

, eds. Embryology for surgeons. Philadelphia, Pa: WB Saunders, 1972: 15–57.

Davis

Duckert

. Embryology and anatomy of the head, neck, face, palate, nose and paranasal sinuses. In: Paparella

Shumrick

Gluckman

Meyerhoff

, eds. Otolaryngology. Vol 1. Philadelphia, Pa: WB Saunders, 1991: 59–106.

Davis

. Development of the pharynx and related parts. In: David

, ed. Embryology of the head and neck in relation to the practice of otolaryngology. 1st ed. Rochester, Minn: American Academy of Ophthalmology and Otolaryngology, 1975: 5–19.

Bailey

. The clinical aspects of branchial fistula. Br J Surg 1933; 21: 173–82.