Chatterjee S, Das S, Khan J A, Bhattacharya R N
Department of Surgery, R G Kar Medical College & Hospital, Calcutta 700004.
J Indian Med Assoc. 2003 Jan;101(1):24, 26.
Congenital fistulae of the neck are branchial in origin and of these 2nd arch fistula is by far the most common, 3rd and 4th arch fistulae being very rare. Here, a case of fistula present since birth and extending from the neck, near the midline to the alveololingual sulcus, considered very rare, is presented. The patient was a 32-year-old male having sticky discharge through an opening in the upper part of the neck. Examination revealed an opening of approximately 1 mm diameter about 1 cm to the left of the midline just above the hyoid bone. A sinogram revealed a fistulous linear tract communicating with the oral cavity. Surgery was undertaken and the fistulous tract was excised.
先天性颈部瘘管起源于鳃弓，其中第二鳃弓瘘管最为常见，第三和第四鳃弓瘘管极为罕见。本文报告一例自出生即存在的瘘管病例，该瘘管从颈部中线附近延伸至牙槽舌沟，实属罕见。患者为一名32岁男性，颈部上方有一开口，有黏性分泌物排出。检查发现，在舌骨上方中线左侧约1厘米处有一个直径约1毫米的开口。造影显示一条与口腔相通的瘘管线性通道。遂进行手术，切除了瘘管。
