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- Title
Branchial Fistulas--A Rare Entity in Pediatric Otorhinolaryngology: Current Management Protocols and Review of Literature.
- Authors
Bhat, Ravishankar S.; Naik, Sudhir M.; Goutham, M. K.; Bhat, Shankarnarayan; Appaji, Mohan; Chidananda, K. V.; Devi, Nongthomban Pinky; Joseph, Sherry; Nayak, Pooja
- Abstract
Background/objectives: Surgical managements which form the mainstay of these branchial apparatus anomalies are based on accurate understanding of the embryology and surgical anatomy. The conspicuous scarring in the young which becomes conspicuous as the age advances are reduced by newer approaches, the facelift approach, retroauricular approach and endoscope-assisted neck approach. Case report: A retrospective case series analysis of eight patients with complete fistula managed by the combined transcervical approach. The recurrence was nil, with good surgical access and minimal scar at the incision site. Conclusion: Combined transcervical approach is the conventional procedure of choice for branchial fistulas. While retroauricular hairline incision (RAHI) approach and endoscopic approaches need expertise and more instrumentation, meticulous cosmetic surgery techniques helps reduces scars of the transcervical approach.
- Subjects
OTOLARYNGOLOGY; MEDICAL literature; ENDOSCOPIC surgery; EMBRYOLOGY; FACELIFT
- Publication
International Journal of Head & Neck Surgery, 2014, Vol 5, Issue 3, p108
- ISSN
0975-7899
- Publication type
Article
- DOI
10.5005/jp-journals-10001-1194