ISSN 1308-7649 | E-ISSN 2148-3817
Case Report
An Effective Surgical Approach for the Management of Recurrent First Branchial Cleft Fistula with Cysts: A Case Report
Mi Jang 1 ,  
1 Otolaryngology Head and Neck Surgery, Pyongyang, Korea, Democratic People's Republic Of  
2 Eye & Ear Nose and Throat Hospital Fudan University, Department of Otology and Skull Base Surgery, Shanghai, China  
J Int Adv Otol 2017; 13: 419-421
DOI: 10.5152/iao.2017.3781
Key Words: First branchial cleft anomaly, branchial fistula, branchial cyst, facial nerve monitoring

The goal of this case report is to describe an unusual case of recurrent first branchial cleft fistula with cysts and the effective surgical approach of complete removal with preservation of the facial nerve. A 27-year-old woman presented to our clinic after unsuccessful removal twice during the last 20 years. We have achieved satisfactory outcomes by using an approach to identify the facial nerve at the stylomastoid foramen with canal wall up mastoidectomy under a microscope. No sign of facial palsy, hearing loss, or recurrence were noted in postoperative follow-up. This approach might facilitate the complete dissection of scar and lesions of recurrent first branchial cleft anomalies around the main trunk of the facial nerve in the parotid gland.



Cite this article as: Jang M, Dai C. effective surgical approach for the management of recurrent first branchial cleft fistula with cysts: a case report. J Int Adv Otol 2017; 13: 419-21.

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