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Mini-incision with endoscope-assisted surgery for bilateral congenital second branchial cleft fistula and a pedigree report / 中华耳鼻咽喉头颈外科杂志
Article ي Zh | WPRIM | ID: wpr-942618
المكتبة المسؤولة: WPRO
ABSTRACT
Objective: To investigate the feasibility and efficacy of mini-incision with endoscope-assisted resection for bilateral congenital second branchial cleft fistula, and to report on a rare pedigree. Methods: The clinical data of 5 patients with bilateral congenital second branchial fistula admitted in Fujian Provincial Hospital from April 2007 to December 2018 were retrospectively reviewed, including 2 males and 3 females, aged from 3 to 31 years old. The surgical strateges and clinical experience of single mini-incision with endoscope-assisted fistulectomy were summarized, and a rare pedigree was reported. Results: In five patients, Case 1 to Case 4 were treated with bilateral endoscopic-assisted fistula high ligation with titanium clips and removal through a single small incision under general anesthesia. No obvious complications occurred after the operation. The patients were followed up for 40-164 months with no fistula recurrence. Case 5 gave up surgical resection and was followed up for 24 months with acute infection attack once. Case 2 and Case 4 came from the same family. In this family, 7 out of 31 members of four generations had second branchial cleft fistulas, of which 4 were bilateral and 3 were right. Pedigree analysis was consistent with autosomal dominant inheritance. No deafness, preauricular tag, external and middle ear deformity and kidney malformation were found in the family members. Conclusions: Bilateral congenital second branchial cleft fistula is rare. Surgical resection is the preferred treatment. Mini-incision with endoscopic-assisted fistula high ligation with titanium clip and resection has clear operative field, ideal cosmetic effect and definite curative effect.
الموضوعات
النص الكامل: 1 الفهرس: WPRIM الموضوع الرئيسي: Pedigree / Branchial Region / Retrospective Studies / Endoscopes / Fistula نوع الدراسة: Observational_studies المحددات: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Male اللغة: Zh مجلة: Chinese Journal of Otorhinolaryngology Head and Neck Surgery السنة: 2021 نوع: Article
النص الكامل: 1 الفهرس: WPRIM الموضوع الرئيسي: Pedigree / Branchial Region / Retrospective Studies / Endoscopes / Fistula نوع الدراسة: Observational_studies المحددات: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Male اللغة: Zh مجلة: Chinese Journal of Otorhinolaryngology Head and Neck Surgery السنة: 2021 نوع: Article