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.
C. Smith. Cysts and sinuses of the neck. In: Grosfeld JL ONJ, Fonkalsrud EW, Coran AG, eds. Pediatric Surgery (ed 6). Philadelphia, PA: Mosby Elsevier, (2006) 861-73.
Ç Elsürer, T Yılmaz. First branchial cleft fistula presenting with external opening on earlobe.Eur Arch Otorhinolaryngol 7(2006) 263-685.
G. Barrett, S.Toynton .Endoscopically assisted branchial fistula excision.International Journal of Pediatric Otorhinolaryngology 77 (2013) 1048–1050.
Doğan, EthemErdalSamim, A different type of branchial fistula as part of a branchiootorenal syndrome Journal of Pediatric Surgery 47 (2012) 404–407 .
Gosche Richard, L. Vick. Acute, subacute, and chronic cervical lymphadenitisin children.SeminPediatrSurg 2006; 15(2):99-106.
J. Zhang .Intraoperative fistulograms in the management of branchial apparatus abnormalities in children Clinical Imaging 36 (2012) 826–828.
J. Madana, D. Yolmo, S Gopalakrishnan. Cervical infection secondary to pyriform sinus fistula of branchial origin.Congenit Anom49 (2009)276–8.
Stephanie Acierno and John Waldhausen. Congenital Cervical Cysts,
Sinuses and Fistulae.OtolaryngolClin N Am 40 (2007) 161–176.
RamnikPatel ,AmritKundral, Owen Judd, Andrew Moir, Bharat More. Type II first branchial cyst and sinus excision with preservation of facial nerve and parotid gland. J PedSurg Case Reports 1 (2013) 1-4.
R. Nicollas. Congenital lateral cysts and fistulas of the neck International Congress Series 1254 (2003) 419–425.
El-Sharkawy, K., Sayed, O., Gafar, A., & Allam, M. (2017). Congenital cervical fistulae: optimum age to avoid complication and recurrence.. Sohag Medical Journal, 21(3), 401-404. doi: 10.21608/smj.2017.41251
MLA
Kamal El-Sharkawy; Omar Abdel_Raheem Sayed; Ahmed Gafar; Mohamed Allam. "Congenital cervical fistulae: optimum age to avoid complication and recurrence.". Sohag Medical Journal, 21, 3, 2017, 401-404. doi: 10.21608/smj.2017.41251
HARVARD
El-Sharkawy, K., Sayed, O., Gafar, A., Allam, M. (2017). 'Congenital cervical fistulae: optimum age to avoid complication and recurrence.', Sohag Medical Journal, 21(3), pp. 401-404. doi: 10.21608/smj.2017.41251
VANCOUVER
El-Sharkawy, K., Sayed, O., Gafar, A., Allam, M. Congenital cervical fistulae: optimum age to avoid complication and recurrence.. Sohag Medical Journal, 2017; 21(3): 401-404. doi: 10.21608/smj.2017.41251
)
View on SCiNiTO