Fluoroscopic and CT fistulography of the first branchial cleft.
We present an unusual case of a complete first branchial cleft fistula communicating between the external auditory canal and the skin near the angle of the mandible. CT and fluoroscopic fistulography were used to establish the presence and course of the tract and to assist in surgical planning. The embryology and classification of first branchial cleft anomalies are discussed, with emphasis on the impact of imaging.
Whetstone
J
J
Department of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Branstetter
B F
BF
Hirsch
B E
BE
D001934:Branchial Region / Q000002:abnormalities* / Q000000981:diagnostic imaging; D003287:Contrast Media / Q000008:administration & dosage; D017577:Cutaneous Fistula / Q000000981:diagnostic imaging*; D003973:Diatrizoate; D003974:Diatrizoate Meglumine; D004338:Drug Combinations; D004424:Ear Canal / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D004427:Ear Diseases / Q000151:congenital* / Q000000981:diagnostic imaging*; D005260:Female; D005402:Fistula / Q000151:congenital* / Q000000981:diagnostic imaging*; D005471:Fluoroscopy; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D004338:Drug Combinations; D003973:Diatrizoate; D003974:Diatrizoate Meglumine; C027278:urovision