RARE BRANCHIAL ARCH ANOMALIES
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2016, Vol 3, Issue 19
Abstract
AIM Amongst the branchial arch anomalies third arch anomaly occurs rarely and more so the fourth arch anomalies. We present our experience with cases of rare branchial arch anomalies. PATIENTS AND METHODS From June 2006 to January 2016, cases having their external opening in the lower third of sternocleidomastoid muscle with the tract going through thyroid gland and directing to pyriform sinus (PFS) or cysts with internal opening in the PFS were studied. RESULTS No fourth arch anomaly was encountered. One cyst with internal opening which later on formed a fistula, three fistulae from beginning and two sinuses were encountered. The main stay of diagnosis was the fistula in the PFS and the tract lying posterior to the internal carotid artery. Simple excision technique with a small incision around the external opening was done. There was no recurrence. CONCLUSION Third arch fistula is not very rare as it was thought. Internal fistula is found in most of the cases. Though radiological investigations are helpful, fistulae can be diagnosed clinically and during operation. Extensive operation of the neck, mediastinum and pharynx is not required.
Authors and Affiliations
Jayanta Kumar Goswami, Abhijit Sarma, Chandan Jyoti Saikia
Keywords
Related Articles
- EP ID EP233851
- DOI 10.18410/jebmh/2016/171
- Views 62
- Downloads 0
PROSPECTIVE COHORT STUDY OF THE RENAL OUTCOME IN OLT PATIENTS- A PRELIMINARY OBSERVATIONAL STUDY
BACKGROUND Postoperative Acute Renal Injury (ARI) is a serious clinical problem in Orthotopic Liver Transplantation (OLT). There are currently no standard criteria for the evaluation of patients with AKI or Chronic Kidne...
WAIST-HIP RATIO AND WAIST CIRCUMFERENCE AS SIMPLE MEASURES OF CARDIOVASCULAR RISK ASSESSMENT AND WEIGHT MANAGEMENT AMONG MEDICAL STUDENTS
BACKGROUND The Waist-Hip Ratio (WHR) and Waist Circumference (WC) were used to identify people at health risk both from being overweight and having visceral fat distribution. The aim of this study was to determine the as...
PREVENTION OF OCULAR MORBIDITY AMONG MEDICAL STUDENTS BY PREVALENCE ASSESSMENT OF ASTHENOPIA AND ITS RISK FACTORS
PURPOSE To determine the prevalence of asthenopia and to identify modifiable risk factors in medical students. Therefore, as to provide with necessory instruction and precaution to reduce the occurrence of the ocular mor...
CEA A BIOCHEMICAL MARKER FOR DIAGNOSIS AND PROGNOSIS OF GASTROINTESTINAL CANCER
Serum tumor markers (TM) are widely used for diagnosis and monitoring of treatment of cancer. Carcinoembryonic Antigen (CEA) is one of the most widely investigated tumor markers in gastrointestinal (GI) cancers. Estimati...
A STUDY OF CENTRAL CORNEAL THICKNESS AND CORNEAL ENDOTHELIAL CHANGES IN TYPE 2 DIABETES MELLITUS
BACKGROUND Corneal endothelium plays an important role in maintaining the corneal transparency. Evaluation of corneal endothelial cell morphology and central corneal thickness (CCT) is important in a wide range of disord...