Department of Head and Neck Surgery, Ghent University Hospital, De Pintelaan, 185 B-9000 Ghent, Belgium.
J Plast Reconstr Aesthet Surg. 2010 Jun;63(6):1052-4. doi: 10.1016/j.bjps.2009.11.013. Epub 2009 Dec 16.
Complete fistulas of the second branchial cleft have a complicated course between the internal and external carotid arteries, crossing the hypoglossal and glossopharyngeal nerve. Therefore, surgical excision implies a tedious dissection of the fistula between the neck vessels and nerves and the multiple or large incisions have major cosmetic consequences. In cases of complete fistulas, we report a more simple method by stripping. Using a guide wire fixed to the first 2cm of the fistula, the fistulous tract is stripped completely inside out to its pharyngeal opening by pulling the oral end of the guide wire. This technique uses a limited skin incision with an excellent cosmetic result and very low morbidity; and furthermore, it shortens the procedure and hospitalisation time.
第二鳃裂完全性瘘管在颈内、外动脉之间走行复杂，穿过舌下神经和舌咽神经。因此，手术切除需要在颈部血管和神经之间进行繁琐的瘘管分离，而且多次或大切口会导致严重的美容后果。对于完全性瘘管，我们报告了一种更简单的剥离方法。用一根固定在瘘管前 2cm 的导丝，通过拉动导丝的口腔端，将瘘管完全从内向外剥至咽腔开口。该技术采用有限的皮肤切口，具有极佳的美容效果和极低的发病率；此外，还缩短了手术和住院时间。
