First branchial cleft fistula presenting with internal opening on the Eustachian tube: Illustrated cases and literature review.

Abstract:

OBJECTIVE:Two cases of first branchial cleft fistula with internal opening on the Eustachian tube are reported and the diagnosis, management and embryological hypothesis are discussed. DESIGN:Retrospective study and review of the literature. RESULTS:Both patients were young boys with first branchial cleft anomaly clearly identified by computed tomography fistulography scan and direct Methylene Blue dye injection. In both cases, surgical removal revealed a fistula with internal opening located on the Eustachian tube near the nasopharynx. DISCUSSION:The main embryological theories and classification are reviewed. A connection between the theories of first branchial apparatus development and the classification by Work might explain the reported clinical association.

authors

Liu Y,Li T,Xue J,Jia J,Xiao S,Zhao E

doi

10.1016/j.ijporl.2012.01.028

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

642-5

issue

5

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(12)00074-2

journal_volume

76

pub_type

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