Parida Pradipta Kumar, Alexander Arun, Raja Kalairasi, Surianarayanan Gopalakrishnan, Ganeshan Sivaraman
Department of E.N.T, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry 605006, India.
Case Rep Otolaryngol. 2013;2013:578091. doi: 10.1155/2013/578091. Epub 2013 Nov 7.
First branchial cleft anomalies are uncommon, accounting for less than 10% of all branchial abnormalities. Their rare occurrence and varied presentation have frequently led to misdiagnosis and inadequate and inappropriate treatment of these conditions leading to repeated recurrences and secondary infection. In this paper, a case of 11-year girl with type 2 first branchial cleft defect is described. She first presented with a nonhealing ulcer of upper neck from childhood. Diagnosis had previously been missed and treated as tubercular ulcer. We confirmed the correct diagnosis by history and computerized tomography fistulogram. The lesion was completely excised with no further recurrence.
第一鳃裂畸形并不常见，占所有鳃裂异常的比例不到10%。其罕见的发生率和多样的表现常常导致这些病症的误诊以及治疗不足和不当，进而导致反复复发和继发感染。本文描述了一例11岁患有2型第一鳃裂缺陷的女孩。她自童年起就首次出现颈部上段不愈合的溃疡。此前诊断被漏诊，并当作结核性溃疡进行治疗。我们通过病史和计算机断层扫描瘘管造影术确诊了正确的诊断。病变被完全切除，未再复发。
