First branchial cleft fistula (Work Type 2) with an internal opening to the Eustachian tube: Case report and review of literature

First branchial cleft anomalies are rare congenital defects of the head and neck. This case report presents a 12-year-old patient with a draining cutaneous pit approximately 1-cm anterior and 5-mm inferior to the right angle of the mandible. Imaging revealed a fistula between the cutaneous pit and E...

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Main Authors: Omar Faruque, DO, Jeffrey D. Wischhusen, BS, Lauren K. Reckley, MD, Veronica J. Rooks, MD, Bryan J. Liming, MD
Format: Article
Language:English
Published: Elsevier 2019-07-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043319300810
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spelling doaj-4898941dea964da58e95de9cdc3127472020-11-24T21:30:36ZengElsevierRadiology Case Reports1930-04332019-07-01147819824First branchial cleft fistula (Work Type 2) with an internal opening to the Eustachian tube: Case report and review of literatureOmar Faruque, DO0Jeffrey D. Wischhusen, BS1Lauren K. Reckley, MD2Veronica J. Rooks, MD3Bryan J. Liming, MD4Department of Radiology, Tripler Army Medical Center, Aiea, HI 96859, USA; Corresponding author.Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USADepartment of Otolaryngology, Tripler Army Medical Center, Aiea, HI 96859, USADepartment of Radiology, Tripler Army Medical Center, Aiea, HI 96859, USADepartment of Otolaryngology, Tripler Army Medical Center, Aiea, HI 96859, USAFirst branchial cleft anomalies are rare congenital defects of the head and neck. This case report presents a 12-year-old patient with a draining cutaneous pit approximately 1-cm anterior and 5-mm inferior to the right angle of the mandible. Imaging revealed a fistula between the cutaneous pit and Eustachian tube. Further characterization with methylene blue injection into the cutaneous pit resulted in spillage through the right Eustachian tube. Surgical excision of the fistula revealed a cylindrical structure comprised of ectodermal and mesodermal features that most likely represented a Work Type 2 first branchial cleft fistula. Keywords: First branchial cleft, Branchial cleft fistula, Branchial cleft, Work Type 2, Eustachian tubehttp://www.sciencedirect.com/science/article/pii/S1930043319300810
collection DOAJ
language English
format Article
sources DOAJ
author Omar Faruque, DO
Jeffrey D. Wischhusen, BS
Lauren K. Reckley, MD
Veronica J. Rooks, MD
Bryan J. Liming, MD
spellingShingle Omar Faruque, DO
Jeffrey D. Wischhusen, BS
Lauren K. Reckley, MD
Veronica J. Rooks, MD
Bryan J. Liming, MD
First branchial cleft fistula (Work Type 2) with an internal opening to the Eustachian tube: Case report and review of literature
Radiology Case Reports
author_facet Omar Faruque, DO
Jeffrey D. Wischhusen, BS
Lauren K. Reckley, MD
Veronica J. Rooks, MD
Bryan J. Liming, MD
author_sort Omar Faruque, DO
title First branchial cleft fistula (Work Type 2) with an internal opening to the Eustachian tube: Case report and review of literature
title_short First branchial cleft fistula (Work Type 2) with an internal opening to the Eustachian tube: Case report and review of literature
title_full First branchial cleft fistula (Work Type 2) with an internal opening to the Eustachian tube: Case report and review of literature
title_fullStr First branchial cleft fistula (Work Type 2) with an internal opening to the Eustachian tube: Case report and review of literature
title_full_unstemmed First branchial cleft fistula (Work Type 2) with an internal opening to the Eustachian tube: Case report and review of literature
title_sort first branchial cleft fistula (work type 2) with an internal opening to the eustachian tube: case report and review of literature
publisher Elsevier
series Radiology Case Reports
issn 1930-0433
publishDate 2019-07-01
description First branchial cleft anomalies are rare congenital defects of the head and neck. This case report presents a 12-year-old patient with a draining cutaneous pit approximately 1-cm anterior and 5-mm inferior to the right angle of the mandible. Imaging revealed a fistula between the cutaneous pit and Eustachian tube. Further characterization with methylene blue injection into the cutaneous pit resulted in spillage through the right Eustachian tube. Surgical excision of the fistula revealed a cylindrical structure comprised of ectodermal and mesodermal features that most likely represented a Work Type 2 first branchial cleft fistula. Keywords: First branchial cleft, Branchial cleft fistula, Branchial cleft, Work Type 2, Eustachian tube
url http://www.sciencedirect.com/science/article/pii/S1930043319300810
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