Congenital cervical fistulae: optimum age to avoid complication and recurrence.

Document Type : Original Article


1 Department of General Surgery, Faculty of Medicine, Sohag University.

2 Department , of General Surgery , Faculty of Medicine, Sohag University


Objective of This retrospective study to evaluate the most important risk factor for recurrence and complication after cervical fistulae surgery.
Materials and Methods:a series of 41 cases treated for congenital fistulae of the neck between 2005 and 2012 in the Maxillofacial unit, pediatric surgery unit in general surgery department, Sohag University. The anomalies in this series were classified as laterocervical region, fistulas of the branchial cleft (n_31) followed by those of preauricular sinus and fistula (n_10).Revised  for pre-operative presention, operative procedure, post-operative short and long run follow up.
Results:This study includes 41 patients with diagnosis of cervical fistulae,including branchial, and preauricular sinus. 12 of them are males and 29 are female with age range between 6ms – 47 year old, mean = 14.3 ± 10.4 median = 13. 30 cases below age of 5 years (75.%).Post-operative complication including: recurrence, infection,facial nerve palsy and seroma formation. Which mainly occurred in child below 1 year ,preoperative history of recent infection or recurrent cases.
Conclusion:Age and presentation are the most affecting factor of post-operative morbidity or recurrence.As below age of 2 years most cases of recurrence or complication.

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