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Treatment of pharyngocutaneous fistula acquired from incisions and drainage of deep neck space abscess in a patient with occult third branchial anomaly


FT Orji
EA Dahilo
BC Ezeanolue
BC Okafor
IJ Okorafor

Abstract

Aim: To report the treatment of an extremely rare case of pharyngocutaneous fistula that resulted from incisions of deep neck space abscess in a patient with occult 3rd branchial anomaly.

Methodology: clinical case report.

Case report: OC is a 19-year old female who presented with 18-month history of a discharging opening in her anterior neck. This started after she had incisions and drainage of recurrent deep neck abscess three times at another health facility. We did surgical exploration to excise and close the fistula but only succeeded at the second attempt.

Conclusion: We conclude that branchial apparatus anomaly whether manifest or occult should be suspected in the aetiological factor of deep neck abscess. Caution should be exercised in incising and draining recurrent deep neck space abscess to avoid facilitating formation of fistula.

Keywords: brachial anomaly, deep neck space abscess, pharyngocutaneous fistula

Nigerian Journal of Otorhinolaryngology Vol. 2(2) 2005: 86-89

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