title: Coexisting first and bilateral second branchial fistulas in a child with nonfamilial branchio-otic syndrome.
abstract: We describe what we believe is only the third reported case of coexisting first and bilateral second branchial fistulas associated with nonfamilial branchio-otic syndrome. The patient was a 6-year-old girl who presented with bilaterally draining anterior neck puncta, a preauricular sinus, and moderately severe bilateral hearing loss. She had no family history of branchial anomalies. Compared with branchial cysts and sinuses, branchial fistulas are rare. Even more rare are bilateral second branchial fistulas coexisting with first branchial anomalies, as only 10 cases have been previously reported in the English-language literature. Of these 10 cases, 5 were associated with either branchio-otic syndrome or branchio-oto-renal syndrome; 2 patients had familial branchio-otic syndrome, 2 had nonfamilial branchio-otic syndrome, and 1 had nonfamilial branchio-oto-renal syndrome.
authors.affiliation: Department of Otorhinolaryngology, College of Medicine-Philippine General Hospital, University of the Philippines, Ward 10, Taft Ave., Ermita, Manila 1000, Philippines. lapenajf@upm.edu.ph
authors.forename: Jose F
authors.initials: JF
authors.lastname: Lapeña
authors.forename: Genilou Liv M
authors.initials: GL
authors.lastname: Jimena
mesh_terms: D001934:Branchial Region / Q000002:abnormalities*; D019280:Branchio-Oto-Renal Syndrome / Q000150:complications; D002648:Child; D019465:Craniofacial Abnormalities / Q000150:complications; D017577:Cutaneous Fistula / Q000150:complications / Q000151:congenital*; D005260:Female; D005402:Fistula / Q000150:complications / Q000151:congenital; D006801:Humans; D010608:Pharyngeal Diseases / Q000150:complications / Q000151:congenital*