Konjenital veya enfeksiyöz etiyolojili baş ve boyun fistülleri: 23 olgunun retrospektif analizi

Abstract

Objective: In this study, we aimed to conduct a retrospective analysis of head and neck masses initially presenting with fistulas.
Methods: A total of 23 patients with head and neck fistulas who admitted to the otorhinolaryngology department of our tertiary care center between January 2011 and May 2012 were retrospectively reviewed. Age, sex, and duration of symptoms were noted from the case records. The side and site of the lesion and the opening of fistula were noted. Co-morbidities, post-operative complications and histopathological diagnosis were classified.

Results: Of the 23 patients with head and neck fistulas, (12 males, 11 females) the average age was 26.52±14.1 (range: 9 to 74) years. Of the 23 lesions, the most prevalent lesion was branchial fistulas (n=13, 56.52%) followed by thyroglossal fistulas (n=7, 30.43%), dermoid fistulas (n=2, 8.7%) and tuberculosis (n=1, 4.4%). Drainage (n=23, 100%) was consistently observed as the initial symptom in all patients while swelling (n=22, 95.6%) was the second most common presenting symptom.
Conclusion: Correct diagnosis is essential to avoid inadequate surgery and multiple procedures for head and neck fistulas of congenital or infectious etiology.

Keywords

• Brankiyal,tiroglossal,konjenital,fistül,baş,boyun

Kaynakça

1. 1. Nicollas R, Guelfucci B, Roman S, Triglia JM. Congenital cysts and fistulas of the neck. Int J Pediatr Otorhinolaryngol 2000;55: 117–24.
2. 2. Prasad SC, Azeez A, Thada ND, Rao P, Bacciu A, Prasad KC. Branchial anomalies: diagnosis and management. Int J Otolaryngol 2014;2014:237015.
3. 3. Singh AP, Kumar V, Narula V, Meher R, Raj A. Bilateral first and second arch anomalies: a rare presentation. Singapore Med J 2012; 53:e74–6.
4. 4. Coppens F, Peene P, Lemahieu SF. Diagnosis and differential diagnosis of branchial cleft cysts by CT scan. J Belge Radiol 1990; 73:189–96.
5. 5. Bajaj Y, Ifeacho S, Tweedie D, et al. Branchial anomalies in children. Int J Pediatr Otorhinolaryngol 2011;75:1020–3.
6. 6. Lapeña JF Jr, Jimena GL. Coexisting first and bilateral second branchial fistulas in a child with nonfamilial branchio-otic syndrome. Ear Nose Throat J 2013;92:304, 306–9.
7. 7. Gatti WM, Zimm J. Bilateral branchial cleft fistulas: diagnosis and management of two cases. Ear Nose Throat J 1998;67:256, 258, 261.
8. 8. Miwa K, Fujioka S, Adachi Y, Haruki T, Taniguchi Y, Nakamura H. Mediastinal tuberculous lymphadenitis with intractable fistula to the neck. Thorac Cardiovasc Surg 2010;58:124–6.

9. 9. Polesky A, Grove W, Bhatia G. Peripheral tuberculous lymphadenitis: epidemiology, diagnosis, treatment, and outcome. Medicine (Baltimore) 2005;84:350–62.
10. 10. Senel E, Kocak H, Akbiyik F, Saylam G, Gulleroglu BN, Senel S. From a branchial fistula to a branchiootorenal syndrome: a case report and review of the literature. J Pediatr Surg 2009;44:623–5.
11. 11. Madana J, Yolmo D, Saxena SK, Gopalakrishnan S. True thyroglossal fistula. Laryngoscope 2009;119:2345–7.
12. 12. Dandapat MC, Mishra BM, Dash SP, Kar PK. Peripheral lymph node tuberculosis:a review of 80 cases. Br J Surg 1990;77:911–2.
13. 13. Mert A, Tabak F, Ozaras R, Tahan V, Ozturk R, Aktuglu Y. Tuberculous lymphadenopathy in adults: a review of 35 cases. Acta Chir Belg 2002;102:118–21.
14. 14. Al-Khateeb TH, Al Zoubi F. Congenital neck masses: a descriptive retrospective study of 252 cases. J Oral Maxillofac Surg 2007;65: 2242–7.
15. 15. Solomon JR, Rangecroft L. Thyroglossal-duct lesions in childhood. J Pediatric Surg 1984;19:555–61.f