Tek İnsizyonla İkinci Brankial Yarık Fistülün Çıkarılması

Brankial anomaliler, konjenital boyun kitlelerinin yaklaşık% 30'unu oluştururlar. Kist, sinüs veya fistül olarak ortaya çıkabilirler. Erkek ve kadınlarda eşit oranda görülürler ve çoğunlukla çocukluk ve ergenlik döneminde ortaya çıkarlar. İkinci brankial fistül’ün tonsiller bölgede bir girişi ve sternokleidomastoid kası üzerindeki ciltten dışarı doğru açılan bir çıkışı vardır. Bu lezyonların görülme sıklığı son derece seyrektir. Tedavi yöntemi olarak brankial anomalileri için cerrahi eksizyon tercih edilir. 17 yaşındaki bir erkek çocuğunda nadir görülen ikinci brankial fistül olgusuna uyguladığımız cerrahi yöntemi literatür eşliğinde sunuyoruz.

Removal of Second Branchial Cleft Fistula with a Single Incision

Branchial anomalies account for approximately 30% of congenital neck masses. They may occur in forms of cysts, sinuses or fistulas. Their incidence is similar in men and women, while they are usually diagnosed during the childhood and adolescence (first 2 decades of life). Second branchial cleft fistula, which is a rare branchial anomaly, is often characterized by having an inlet in the tonsillar region and an outlet opening to the skin around the sternocleidomastoid muscle. Surgical excision for branchial anomalies the only route of treatment. We present single-incision surgical method applied to a second branchial cleft fistula case in a 17-year-old boy and discuss our findings in light of the literature on this topic.

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Ted L Tewfik, MD; Chief Editor: Arlen D Meyers, MD, MBA more Drugs & Diseases > Otolaryngology and Facial Plastic Surgery Congenital Malformations of the Neck Updated: Nov 05, 2015
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