Rajkumar J S, Ganesh Deepa, Anirudh J R, Akbar S, Joshi Niraj
Chairman & Advanced Laparoscopic Surgeon, Department of Minimal Access Surgery, LifeLine RIGID Hospitals , Kilpauk, Chennai, India .
Consultant Laparoscopic Surgeon, Department of Minimal Access Surgery, LifeLine RIGID Hospitals , Kilpauk, Chennai, India .
J Clin Diagn Res. 2016 Jun;10(6):PD19-21. doi: 10.7860/JCDR/2016/16730.8019. Epub 2016 Jun 1.
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.
虽然第二鳃弓瘘管（源于His颈窦未完全闭合）广为人知，但第一鳃弓瘘管则更为罕见（<10%），且通常未得到全面处理。我们报告一例罕见的阿诺特（Arnot）分类II型第一鳃弓瘘管病例，该瘘管有两个外口，病程超过20年。患者成功切除了所有相关的瘘管。本文还介绍了文献综述及该手术面临的挑战。
