A rare case of complete second arch branchial fistula in a 7-year-old child

Abstract

Branchial fistulae are formed due to the abnormal persistence of the embryonic branchial clefts. Complete branchial fistula with internal and external opening is extremely rare. We report a rare case of complete second arch branchial fistulae in a 7-year-old boy, which was confirmed by a fistulogram. The tract was completely excised and the patient was successfully treated.

A complete second branchial fistula in a four years old child

“…It is done through two incisions in the neck that gives exposure of the fistula tract with less tissue dissection. The higher incision must be bigger than the lower to avoid the damage to important neurovascular structures [13] , [15] , [19] , [20] .…”