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Neck fistula and cyst, lateralQ18.0

Author:Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

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Synonym(s)

Congenital cheek fistula; Cyst thymic; lateral congenital fistula; Neck cyst; Neck Fistula

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HistoryThis section has been translated automatically.

Hunczovsky, 1785; Ascherson, 1832

DefinitionThis section has been translated automatically.

Branchial fistula or cyst derived from the second gill cleft and caused by an insufficient regression of the ductus thymopharyngeus.

LocalizationThis section has been translated automatically.

Originating on a line that connects the mandibular angle with the manubrium sterni.

Clinical featuresThis section has been translated automatically.

Outer opening: Anterior edge of the sternocleidomastoid muscle, approximately at laryngeal level. The duct runs above the carotid bifurcation and opens above the palatal tonsil into the recessus supratonsillaris. Mostly blind end in the lateral pharyngeal wall.

TherapyThis section has been translated automatically.

Complete extirpation of the fistula or cyst with capsule from school age onwards in cooperation with ENT colleagues or the oral-jaw surgeon. Follow-up of the course, if necessary intraoperatively with dye solutions such as methylene blue. Persistent cysts often lead to recurrences. In case of inflammation antibiotic pre-treatment usually with ampicillin (e.g. Ampicillin Wolff Filmtbl.).

Progression/forecastThis section has been translated automatically.

Recurrence rate about 2%.

LiteratureThis section has been translated automatically.

  1. Eustachi B (1564) Opuscula Anatomica. Vincentius Luchinus excudebat (Venice).
  2. Hunczovsky JN (1785) Instruction on surgical operations. Intended for his lectures. R. Gräffer (Vienna)
  3. Nakano M et al (1999) Congenital cheek fistula: a report of three cases. Br J Plast Surgery 52: 311-313
  4. Nicollas R et al (2000) Congenital cysts and fistulas of the neck. Int J Pediatr Otorhinolaryngol 55: 117-124
  5. Zou F et al (2003) A locus for congenital preauricular fistula maps to chromosome 8q11.1-q13.3 J Hum Genet 48: 155-158

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer