© Borgis - New Medicine 4/2012, s. 114-115
*Monika Jabłońska-Jesionowska, Małgorzata Dębska, Lidia Zawadzka-Głos
Congenital lateral fistulae on the neck in 8-years girl
Department of Pediatric Otolaryngology, Medical University of Warsaw
Head of Department: Lidia Zawadzka-Głos MD, PhD
Introduction. Congenital lateral fistulae, the anomaly of the branchial second cleft derivatives is the most common anomalies of branchial apparatus (1, 3, 4).
Material and methods. In Department of Pediatric Otolaryngology Medical University of Warsaw 8-years girl was treated because of the congenital lateral fistulae. The ultrasound image of the neck and radiography with barium (into the external opening) was done.
Results. The surgical procedure was performed in general anesthesia. The excision of whole duct of fistulae through the two incisions was made. No recurrence was observed.
Conclusions. 1. The complete excision of the entire fistulae duct is preferable treatment of choice. 2. The surgery procedure should be done as soon as possible before inflammation occurs because of high risk of adhesions (5).
Congenital lateral fistulae is the anomaly of the branchial second cleft derivatives. There are the most common anomalies of branchial apparatus (1, 3, 4). The external opening of the fistulae is on the 1/3 lower part of the neck on anterior border of the sternicleidomastoid muscle. The internal opening (not ever observed) is in the fossa of tonsillae palatine. The duct of fistulae goes between the external and internal carotid artery and above the hypoglossal and glosso-pharyngeal nerve (1).
MATERIAL AND METHODs
In Department of Pediatric Otolaryngology Medical University of Warsaw 8-years girl was treated because of the congenital lateral fistulae.
The external opening of the fistulae was on the neck, above the clavicle, on anterior border of the right sterno-cleido-mastoid muscle. Since early childhood the parents occasionally observed the discharge from the external opening of the fistulae. It was clear and no pus and unpleasant smell was noticed. The girl never had high fever because of this discharge. She never presented inflammatory swelling of the neck, dyspnea and dysphagia.
The ultrasound image of the neck and radiography with barium (into the external opening) was done.
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zaakceptowano do druku: 2012-10-31
Adres do korespondencji:
Department of Pediatric Otolaryngology Medical University of Warsaw
24 Marszałkowska St., 00-576 Warsaw
tel./fax: +48 (22) 628-05-84
e-mail: email@example.comNew Medicine 4/2012
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