Congenital Fistula of the Neck Communicating With the Middle Ear

Druss, Joseph G.; Allen, Benjamin J.

doi:10.1001/archotol.1940.00660010441005

Cited by 18 publications

(4 citation statements)

References 4 publications

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“…This was not the case in any of our patients and is extremely rare, with only a few isolated cases reported. 15 There is a variable relationship between the facial nerve and the tract. In our series, eight tracts ran deep to the nerve, seven ran superficial and two ran between its branches.…”

Section: Discussionmentioning

confidence: 99%

Presentation of first branchial cleft anomalies: the Sheffield experience

et al. 2006

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Abnormalities of the first branchial cleft are rare. They may present with a cutaneous defect in the neck, parotid region, external auditory meatus or peri-auricular area, or with inflammatory or infective lesions at these sites. A retrospective case note review of the patients treated by the senior author is presented. This group consisted of 18 patients and represents the largest published UK series to date. Eleven patients (65 per cent) had undergone incomplete surgery prior to referral. Over half the patients had a clinically apparent lesion in relation to the external auditory meatus. There was a variable relationship between the tract and the facial nerve, which was identified at surgery in 15 cases. These findings are consistent with those of previously published series. Clinicians should keep this diagnosis in mind when assessing patients with infected lesions in the neck and parotid area. Surgeons should be familiar with parotid surgery, in children where appropriate, and be prepared to expose the facial nerve before embarking on the surgical management of these lesions.

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Section: Discussionmentioning

confidence: 99%

Presentation of first branchial cleft anomalies: the Sheffield experience

et al. 2006

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“…The facial nerve may be displaced by the anomaly or be in an unusual location because of its association with a malformed ear canal. In one case report, the facial nerve was located in the plane of the anterior cartilaginous ear canal, passing between the cartilaginous ear canal and the duplication anomaly 18 . Many patients with periauricular cysts and sinuses have had frequent infections and repeated surgical procedures with subsequent scarring, making identification and dissection of the nerve even more difficult.…”

Section: Discussionmentioning

confidence: 99%

Periauricular Cysts and Sinuses

et al. 1997

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Periauricular cysts, sinuses, and fistulas occur commonly in the pediatric population. They arise from developmental defects of the first branchial cleft and first branchial arch. In most instances the diagnosis and management of these conditions are straightforward, but exceptional presentations sometimes occur. Failure to recognize these unusual cases may result in inadequate treatment and subsequent recurrence, and even if the correct diagnosis is made, surgical management of these lesions may be complicated. A series of 15 cases of periauricular congenital lesions is reviewed, of which three cases illustrating a diagnostic or surgical challenge are presented. The embryology, presentation, and management of these anomalies are discussed. This is one of the largest series of first branchial cleft anomalies reported in the literature, and our paper uniquely discusses first branchial cleft anomalies and preauricular sinuses together, with an emphasis on the surgical management of facial nerve, external ear, and middle ear involvement.

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“…We present what appears to be even more uncommon, an anomalous first branchial cleft sinus involving a solid mass in the right middle ear with a sinus tract originating from a pit in the anterior triangle of the neck. Only three other cases 5‐7 report middle ear involvement. These anomalies usually communicate with, or end near, the external auditory canal.…”

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confidence: 99%