A Case of First Branchial Cleft Fistula Presenting with an External Opening on the Root of the Helical Crus
Background. First branchial cleft anomalies (FBCA) are rare clinical entities of the head and neck. Typically, the tract of the FBCA begins in the external auditory canal and ends in the postauricular or submandibular region. Case Presentation. We present a case of a 23-year-old man who had a first...
Saved in:
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/4215802 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832567416476925952 |
|---|---|
| author | Sung Il Cho |
| author_facet | Sung Il Cho |
| author_sort | Sung Il Cho |
| collection | DOAJ |
| description | Background. First branchial cleft anomalies (FBCA) are rare clinical entities of the head and neck. Typically, the tract of the FBCA begins in the external auditory canal and ends in the postauricular or submandibular region. Case Presentation. We present a case of a 23-year-old man who had a first branchial cleft fistula with atypical opening on the root of the helical crus. Complete excision of the tract, including the cuff of surrounding cartilage, was performed. Histopathology revealed a fistular tract lined with squamous epithelium. To our knowledge, this is the first case to be reported of type I FBCA with an opening on the root of the helical crus. The low incidence and varied presentation often result in misdiagnosis and inappropriate treatment. Conclusions. In the patients with FBCA, careful recognition of atypical variants is essential for complete excision. |
| format | Article |
| id | doaj-art-f11cc1fcfa0d46cdbff68f5448102f72 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-f11cc1fcfa0d46cdbff68f5448102f722025-02-03T01:01:39ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/42158024215802A Case of First Branchial Cleft Fistula Presenting with an External Opening on the Root of the Helical CrusSung Il Cho0Department of Otolaryngology-Head and Neck Surgery, Chosun University School of Medicine, Gwangju, Republic of KoreaBackground. First branchial cleft anomalies (FBCA) are rare clinical entities of the head and neck. Typically, the tract of the FBCA begins in the external auditory canal and ends in the postauricular or submandibular region. Case Presentation. We present a case of a 23-year-old man who had a first branchial cleft fistula with atypical opening on the root of the helical crus. Complete excision of the tract, including the cuff of surrounding cartilage, was performed. Histopathology revealed a fistular tract lined with squamous epithelium. To our knowledge, this is the first case to be reported of type I FBCA with an opening on the root of the helical crus. The low incidence and varied presentation often result in misdiagnosis and inappropriate treatment. Conclusions. In the patients with FBCA, careful recognition of atypical variants is essential for complete excision.http://dx.doi.org/10.1155/2018/4215802 |
| spellingShingle | Sung Il Cho A Case of First Branchial Cleft Fistula Presenting with an External Opening on the Root of the Helical Crus Case Reports in Medicine |
| title | A Case of First Branchial Cleft Fistula Presenting with an External Opening on the Root of the Helical Crus |
| title_full | A Case of First Branchial Cleft Fistula Presenting with an External Opening on the Root of the Helical Crus |
| title_fullStr | A Case of First Branchial Cleft Fistula Presenting with an External Opening on the Root of the Helical Crus |
| title_full_unstemmed | A Case of First Branchial Cleft Fistula Presenting with an External Opening on the Root of the Helical Crus |
| title_short | A Case of First Branchial Cleft Fistula Presenting with an External Opening on the Root of the Helical Crus |
| title_sort | case of first branchial cleft fistula presenting with an external opening on the root of the helical crus |
| url | http://dx.doi.org/10.1155/2018/4215802 |
| work_keys_str_mv | AT sungilcho acaseoffirstbranchialcleftfistulapresentingwithanexternalopeningontherootofthehelicalcrus AT sungilcho caseoffirstbranchialcleftfistulapresentingwithanexternalopeningontherootofthehelicalcrus |