Jang Mi, Dai Chunfu
Pyongyang University of Medicine, Kim Il Sung University, Department of Otolaryngology Head and Neck Surgery, Pyongyang, Korea, Democratic People's Republic Of.
Eye and Ear Nose and Throat Hospital Fudan University, Department of Otology and Skull Base Surgery, Shanghai, China.
J Int Adv Otol. 2017 Dec;13(3):419-421. doi: 10.5152/iao.2017.3781. Epub 2017 Nov 2.
The goal of this case report is to describe an unusual case of recurrent first branchial cleft fistula with cysts and the effective surgical approach of complete removal with preservation of the facial nerve. A 27-year-old woman presented to our clinic after unsuccessful removal twice during the last 20 years. We have achieved satisfactory outcomes by using an approach to identify the facial nerve at the stylomastoid foramen with canal wall up mastoidectomy under a microscope. No sign of facial palsy, hearing loss, or recurrence were noted in postoperative follow-up. This approach might facilitate the complete dissection of scar and lesions of recurrent first branchial cleft anomalies around the main trunk of the facial nerve in the parotid gland.
本病例报告的目的是描述一例罕见的复发性第一鳃裂瘘管伴囊肿病例，以及采用保留面神经完整切除的有效手术方法。一名27岁女性在过去20年中曾两次手术切除未成功，前来我院就诊。我们采用在显微镜下经耳道上乳突根治术在茎乳孔处识别面神经的方法，取得了满意的效果。术后随访未发现面神经麻痹、听力损失或复发迹象。这种方法可能有助于在腮腺内面神经主干周围彻底切除复发性第一鳃裂畸形的瘢痕和病变。
