title: First cleft branchial fistula in a child--a modified surgical technique.
abstract: Congenital first branchial cleft fistulae, their embryology, anomalies, varied relationships to the facial nerve and surgical techniques for their excision have been well described in the literature. We report a case of a type II first cleft fistula in a three-year-old child which required a modification of the standard surgical approach to achieve safe and complete excision with identification and preservation of the facial nerve.
authors.affiliation: Department of Otolaryngology, Raigmore Hospital NHS Trust, Inverness.
authors.forename: P
authors.initials: P
authors.lastname: Murthy
authors.forename: P
authors.initials: P
authors.lastname: Shenoy
authors.forename: N A
authors.initials: NA
authors.lastname: Khan
mesh_terms: D001935:Branchioma / Q000601:surgery*; D002675:Child, Preschool; D005154:Facial Nerve / Q000473:pathology; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D009333:Neck / Q000473:pathology