完全性第二鳃裂瘘管病例报告
Case Report of Complete Second Branchial Fistula.
作者信息
Yauchi Kaori, Ueda Misato, Omori Makoto
机构信息
Department of Plastic Surgery, Yodogawa Christian Hospital, Osaka, Japan.
出版信息
Eplasty. 2023 Jun 5;23:e32. eCollection 2023.
BACKGROUND
Branchial fistulas are anomalies of embryonic development of the branchial apparatus, with the most common being second branchial fistulas. However, complete fistulas are infrequent and may relapse. Furthermore, they are difficult to manage without adequate treatment.
METHODS
This article presents the case of a complete second branchial fistula in a 1-year-old female patient who had a sinus on the right side of the neck since birth. Excision of the fistula tract was performed without preoperative fistulography. The tract was then ligated and dissected immediately below the mucosa.
RESULTS
The postoperative course was uneventful, and there was no evidence of recurrence.
CONCLUSIONS
Previous case reports have also demonstrated good outcomes without excision of the internal opening or tonsillectomy.
背景
鳃裂瘘管是鳃器胚胎发育异常，最常见的是第二鳃裂瘘管。然而，完全性瘘管并不常见，且可能复发。此外，若没有充分治疗，处理起来很困难。
方法
本文介绍了一名1岁女性完全性第二鳃裂瘘管患者的病例，该患者自出生起右侧颈部就有一个窦道。在未进行术前瘘管造影的情况下切除瘘管。然后在黏膜下方立即结扎并解剖瘘管。
结果
术后过程顺利，没有复发迹象。
结论
既往病例报告也表明，不切除内口或行扁桃体切除术也有良好的治疗效果。
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