This site is intended for healthcare professionals
General Practice Notebook
Medical search

branchial fistula

FREE subscriptions for doctors and students... click here
You have 3 open access pages.

This is a tiny hole in the lower part of the neck formed by incomplete closure of the second branchial arch when it grows down over the third and fourth branchial arches in the embryo. The sinus is frequently associated with a track running up the neck, often as high as the posterior pillar of the fauces in the pharynx (so forming a branchial fistula).

The condition is normally observed in children, most often in the first year of life. It presents as a small orifice discharging mucous in the anterior border of the sternomastoid, one-third of the way up from the muscle's origin.

Treatment is by surgical excision, dissecting the fistula out as high as possible. The patient or his/her parents should be informed that more than one incision may be necessary despite the single, small hole observable.


General Practice Notebook
General Practice Notebook
The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions LtdĀ®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions LtdĀ® receives funding from advertising but maintains editorial independence. GPnotebook stores small data files on your computer called cookies so that we can recognise you and provide you with the best service. If you do not want to receive cookies please do not use GPnotebook.