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Fourth branchial pouch anomaly

Published online by Cambridge University Press:  29 June 2007

Toru Takimoto ,
Tomokazu Yoshizaki ,
Hiromi Ohoick  and
Hiofo Sakashita
Toru Takimoto*
Affiliation:
Kanazawa, Japan
Tomokazu Yoshizaki
Affiliation:
Kanazawa, Japan
Hiromi Ohoick
Affiliation:
Kanazawa, Japan
Hiofo Sakashita
Affiliation:
Kanazawa, Japan
*
Toru Takimoto, MD, Department of Otolaryngology, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920, Japan.
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Abstract

We present an extremely rare case of fourth branchial fistula in a 23-year-old male. The characteristic clinical feature was a recurrent left lower neck abscess which did not respond to appropriate medical and surgical therapy. Radiography and a computed tomographic scan with contrast material revealed a fistula running from the apex of the left pyriform sinus (internal opening) to the left lower neck abscess. The fistula tract was excised surgically. Histological examination of the excised fistula revealed a squamous epithelial lining and subepithelial lymphoid tissue. This pyriform sinus fistula is thought to be of fourth pharyngeal pouch origin, because of its surgical aspects and the histologicalfindings of the excised fistula.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 11 , November 1990 , pp. 905 - 907
Copyright
Copyright © JLO (1984) Limited 1990

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