title: First Branchial Arch Fistula: A Rarity and a Surgical Challenge.
abstract: Although 2(nd) Branchial arch fistulae (from incomplete closure of Cervical sinus of His) are well known, 1(st) arch fistulae are much rarer (<10%) and are usually not tackled comprehensively. We present a case of a rare first branchial arch fistula of the type II Arnot classification, which presented with two external openings of more than 20 years duration. Patient had a successful resection of all the concerned fistulous tract. Review of literature and the surgical challenges of the procedure are presented herewith.
authors: Chairman & Advanced Laparoscopic Surgeon, Department of Minimal Access Surgery, LifeLine RIGID Hospitals , Kilpauk, Chennai, India .
authors: J S
authors: JS
authors: Rajkumar
authors: Consultant Laparoscopic Surgeon, Department of Minimal Access Surgery, LifeLine RIGID Hospitals , Kilpauk, Chennai, India .
authors: Deepa
authors: D
authors: Ganesh
authors: Assistant Surgeon, Department of Minimal Access Surgery, LifeLine RIGID Hospitals , Kilpauk, Chennai, India .
authors: J R
authors: JR
authors: Anirudh
authors: Assistant Surgeon, Department of Minimal Access Surgery, LifeLine RIGID Hospitals , Kilpauk, Chennai, India .
authors: S
authors: S
authors: Akbar
authors: Consultant ENT Surgeon, Department of ENT, LifeLine RIGID Hospitals , Kilpauk, Chennai, India .
authors: Niraj
authors: N
authors: Joshi
keywords: Arnot type II; Branchial anomaly; Branchial fistula; Facial nerve