Fistula of the fourth branchial pouch.
Most of the congenital anomalies of the branchial apparatus are from the second arch, pouch, and cleft; some are from the first and third arches. Fourth branchial pouch remnants are very rare. We present a rare case of fourth branchial fistula, with characteristic clinical features of recurrent left-sided neck abscess that burst spontaneously, forming a fistula. Diagnosis of fourth branchial pouch fistula was confirmed by contrast radiography (ie, fistulogram and barium swallow) revealing the internal opening in the apex of the left pyriform fossa.
Chaudhary
Neena
N
Department of Otorhinolaryngology, Safdarjang Hospital, New Delhi, India.
Gupta
Alok
A
Motwani
Gul
G
Kumar
Sanjeev
S
D001934:Branchial Region / Q000002:abnormalities*; D005402:Fistula / Q000151:congenital* / Q000601:surgery; D006801:Humans; D008297:Male