An extremely rare case of adult with first branchial cleft fistula: Case report

Lendoye, Wilfrid

doi:10.1016/j.amsu.2021.102807

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…MRI is invaluable for predicting the relationship between first branchial cleft anomalies and the facial nerve, although it cannot define the peripheral branches of the facial nerve. 6 Therefore, intraoperative findings are the most important for safely identifying and preserving the facial nerve.…”

Section: Discussionmentioning

confidence: 99%

First Branchial Cleft Fistula Piercing through the Main Trunk of the Facial Nerve

Moriyama

Kuwahara

Nakagawa

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Summary: First branchial cleft fistulas are congenital malformations that result from the incomplete closure of the ectodermal portion of the first branchial cleft. These fistulas typically appear as small pits or subcutaneous masses in the upper neck and cheek and can cause pain due to infection and inflammation. Surgical excision is the most effective treatment, but special attention is necessary to avoid facial nerve injury due to the proximity of the lesion to the nerve and variations in their arrangement. Here, we report the successful treatment of a first branchial cleft fistula piercing through the main trunk of the facial nerve in a 3-year-old girl. Intraoperative findings revealed that the fistula in the parotid gland opened into the cheek area from the ear canal. Identification of the facial nerve trunk was challenging due to the malformation of the lower end of the auricular cartilage, which is an anatomical landmark of the facial nerve. The trunk of the facial nerve was divided proximally by the fistula and merged just past the fistula. Preoperative magnetic resonance is important for determining the fistula location, surrounding anatomical variations, and fistula-facial nerve arrangement. Furthermore, early surgical treatment should be considered to prevent tissue scarring and adhesion due to infection, which can lead to facial nerve injury.

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Section: Discussionmentioning

confidence: 99%

First Branchial Cleft Fistula Piercing through the Main Trunk of the Facial Nerve

Moriyama

Kuwahara

Nakagawa

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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“…Despite the patient’s age, no facial nerve involvement was reported. To the best of our knowledge, there are no studies in the literature of cases of a first branchial cleft with the exclusive participation of the EAC [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Isolated First Branchial Cleft Anomalies of the External Auditory Canal

et al. 2022

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Patient: Female, 82-year-old Final Diagnosis: First branchial arch malformative of the EAC Symptoms: Mixed moderate hypoacusia and recurrent otitis media Medication:— Clinical Procedure: Canaloplasty and Thiersch graft Specialty: Otolaryngology Objective: Rare disease Background: Branchial cleft anomalies are congenital aberrations of the first to fourth pharyngeal pouches. First branchial cleft anomalies are classified into 2 subtypes according to anatomical and histological features. Their diagnosis can be difficult and depends on radiological and histological findings. In contrast, the required treatment is surgical removal, owing to the high risk of infection or malignancy. This case report introduces a first branchial cleft anomaly in an older woman with exclusive involvement of the external auditory canal (EAC). Case Report: This case report introduces a first branchial cleft anomaly in an 82-year-old woman with exclusive involvement of the EAC. She reported a history of mixed moderate hypoacusis and recurrent otitis media in the last year, without facial nerve involvement. Computed tomography and magnetic resonance imaging were performed to plan surgical treatment, which consisted of canaloplasty and Thiersch grafting. The histopathological examination on operative findings revealed a cystic lesion that was lined by cylindrical epithelium adjacent to the squamous cells, compatible with a diagnosis of first branchial arch malformative residues. Conclusions: This is the unique case of first branchial cleft anomalies reported in an adult patient that exclusively involved the EAC. The onset of the disease was atypical, and surgery with the total removal of the lesion was the only possible treatment. Histopathology results revealed cylindric epithelium not represented in the EAC, compatible with first branchial arch malformative residues. This rare condition is a potential diagnostic option that should be considered in the differential diagnosis of cysts of the EAC.

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“…Branchial cleft cysts are further subdivided based on developmental origin [ 5 ]. A fistula tract to the skin will be formed following recurrent infections of branchial cysts.…”

Section: Introductionmentioning

confidence: 99%

Treatment of recalcitrant esophagocutaneous fistula by platelet-rich-plasma-fibrin glue: A case study

Rezapanah,

Emadi,

Alamdari

2024

International Journal of Surgery Case Reports

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An extremely rare case of adult with first branchial cleft fistula: Case report

Cited by 3 publications

References 7 publications

First Branchial Cleft Fistula Piercing through the Main Trunk of the Facial Nerve

First Branchial Cleft Fistula Piercing through the Main Trunk of the Facial Nerve

Isolated First Branchial Cleft Anomalies of the External Auditory Canal

Treatment of recalcitrant esophagocutaneous fistula by platelet-rich-plasma-fibrin glue: A case study

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