Second branchial cleft fistula: is fistulogram necessary for complete excision.
We present our 10 years experience (1995-2005) of second branchial cleft fistulas and sinuses in the pediatric age group by retrospective analysis of records of 52 patients (with 63 fistulas) whose sinuses or fistulas were excised. It was found to be thrice as common in males as compared to females and was predominantly unilateral. The role of fistulogram and methylene blue dye injection in delineation and complete surgical excision of the tract was evaluated. Twenty-five cases were managed by pre-operative fistulogram and intra-operative dye injections for excision, whereas 38 cases of branchial fistulas and sinuses were excised without fistulogram and dye injection. Fistulogram and dye injection were found to be of no extra help during excision of the tract. There were two recurrences.
Rattan
Kamal Nain
KN
Department of Pediatric Surgery, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.
Rattan
Simi
S
Parihar
Dheeraj
D
Gulia
Joginder Singh
JS
Yadav
Samar Pal Singh
SP
D000293:Adolescent; D001934:Branchial Region / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D004396:Coloring Agents; D017577:Cutaneous Fistula / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D004210:Dissection / Q000379:methods; D005260:Female; D006801:Humans; D007223:Infant; D007430:Intraoperative Care; D008297:Male; D008751:Methylene Blue; D011300:Preoperative Care; D011859:Radiography; D012008:Recurrence; D012189:Retrospective Studies; D012737:Sex Factors
D004396:Coloring Agents; D008751:Methylene Blue