A Novel Technique of Branchial Fistula Tract Delineation and Excision In Children Allergic To Dyes
Journal Title: Bengal Journal of Otolaryngology and Head Neck Surgery - Year 2015, Vol 23, Issue 2
Abstract
IntroductionBranchial arch fistula which results from a second arch anomaly is rarely seen in practice. The patients usually seek medical advice for persistent discharge from an opening in the neck or mucopurulent discharge from the opening of an infected fistulous tract. The treatment of choice for such a fistula is excision.Materials and MethodsA total of seven patients were operated for branchial fistula between 2010 and 2012. Among them, three children could not undergo a fistulogram due to allergy to the dye used and hence they were selected for our modified procedure.Surgical ProcedureA 3-0 or 4-0 polypropylene (Prolene™) thread was inserted into the fistulous tract. Both the ends of the tract were secured with the thread and the sinus tract was dissected out under gentle traction.ResultsThe patients who were allergic to dye could not have preoperative fistulograms and per-operative injection of dye was also avoided. The blue colour of the polypropylene thread inserted in the fistula tract helped in tracing and excision of the sinus tract. No major complications occurred during or after fistulectomy and the post-operative recovery was uneventful. No recurrence was seen in the scheduled follow-ups.ConclusionSurgical excision of branchial fistulas in children with allergy to dyes can be challenging. Insertion of a polypropylene thread into the fistula tract makes its subsequent dissection easy with minimal disruption of adjacent structures.
Authors and Affiliations
Swagatam Banerjee, Saurav Sarkar, Sanjoy Ghosh, Sharmistha Chakravarty, Biswajit Sikder
Keywords
Related Articles
- EP ID EP434032
- DOI -
- Views 51
- Downloads 0
Prevalence and Management of Otitis Media with Effusion Amongst the School Going Children of a Rural Area in Puducherry
Background : Otitis Media with Effusion(OME) also known as Secretory Otitis Media, has been identified as the commonest middle ear condition causing deafness in children in developed countries. Neither the indication fo...
Juvenile Nasopharyngeal Angiofibroma: Changing Paradigms in Management
Introduction Juvenile Nasopharyngeal Angiofibroma (JNA) is a tumor of young and adolescent males. It is a benign vascular tumor arising from the spheno-palatine foramen. It is best managed surgically at present by endosc...
Comparison of Various Graft Materials in the Reconstruction of Ossicular Chain in Patients with Chronic Otitis Media: A Prospective Hospital Based Study
IntroductionOssicular chain reconstruction is the surgical procedure used to correct the hearing problems in patients with chronic otitis media (COM). In this era, where a large variety of innovative artificial prostheti...
Late Oesteoradionecrosis of Mandible Five Years after Radiotherapy for Carcinoma Base of Tongue
Introduction Osteoradionecrosis (ORN) is a process where irradiated bone undergoes necrosis and becomes exposed through soft-tissue. It is a late effect of radiotherapy. Early presentation within 2 years, is thought to b...
A Complicated Case of Foreign Body Oesophagus in an Infant
Ingestion of foreign bodies is common primarily in children, psychiatric patients, alcoholics and elderly people who use dentures. Selivanov et al. reported that, in most cases of foreign body ingestion, the most common...