A new fistulectomy method for the second pharyngeal arch remnants.
OBJECTIVE
We present a new fistulectomy method for the second pharyngeal arch remnants.


METHODS
Between 1991 and 2003, 4 patients have been treated with a new fistulectomy method.


METHODS
Under general anesthesia with nasotracheal intubation, the neck and mouth are prepared as one operative field. A nylon thread is inserted into the cervical opening. On the oral site of the nylon thread, a small gauze ball is tied and gently pulled from the neck site. At both opening sites of the fistula, a very small incision around the nylon thread is performed. Using the nylon thread as a guide, a fistulectomy is carried out.


RESULTS
In all 4 patients, no complications have occurred during and after the fistulectomy. No recurrences were seen during 15 months to 9 years.


CONCLUSIONS
This is a simple and useful procedure for the treatment of second pharyngeal arch remnants. It produces an excellent cosmetic result compared with the standard method because only one small incision is necessary.
Oshio
Takehito
T
Department of Pediatric Surgery, National Kagawa Children's Hospital, Kagawa 765-8501, Japan. oshio@kagawasyoni.hosp.go.jp
Nakamizo
Hirotaka
H
Yoshikawa
Kozo
K
Takano
Shuichi
S
D001934:Branchial Region / Q000473:pathology* / Q000601:surgery*; D002675:Child, Preschool; D005260:Female; D005402:Fistula / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D013536:Suture Techniques; D016896:Treatment Outcome