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Unconventional fix for an orocutaneous fistula

June 14, 2016  |  Laura Garcia-Rodriguez, MD; Rahil Dharia, BS; Cameron Heilbronn, MD; Tamer Ghanem, MD, PhD

Local risk factors for OCF and PCF secondary to total laryngectomy include infections, exposure of salivary fluids, and radiation.

Spontaneous bilateral dural arteriovenous fistulas with pulsatile tinnitus

January 19, 2015  |  Tzu-Chieh Lin, MD; Hsiung-Kwang Chung, MD; Jeng-Nan Hsu, MD


Pulsatile tinnitus with normal otoscopic findings often presents a diagnostic challenge to otolaryngologists and can be attributed to serious vascular malformations such as dural arteriovenous fistulas (DAVFs). Spontaneous DAVFs are relatively rare. A 65-year-old woman...

Adult presentation of laryngeal cleft: Utility of the modified barium swallow study in diagnosis and management

December 19, 2014  |  Genevieve Houdet-Cote, MHSc; Simon R. McVaugh-Smock, MHSc

We present a case of laryngeal cleft in a 41-year-old man to illustrate the co-occurrence of laryngeal cleft and tracheoesophageal fistula. We advocate the use of the modified barium swallow study in the diagnosis of laryngeal cleft. We also review the advantages and limitations of the various...

Complete second branchial cleft anomaly presenting as a fistula and a tonsillar cyst: An interesting congenital anomaly

October 18, 2014  |  Prasad John Thottam, DO; Samba S. Bathula, MD; Janet M. Poulik, MD; David N. Madgy, DO


Branchial cleft anomalies make up 30% of all pediatric neck masses, but complete second branchial cleft anomalies are extremely rare. We report an unusual case of a complete second branchial cleft anomaly that presented as a draining neck fistula and a tonsillar cyst in an...

Cochlear fistula in a noncholesteatomatous ear

September 18, 2014  |  Yoav Hahn, MD; Dennis I. Bojrab, MD


Bony destruction of the labyrinth is usually associated with long-standing cholesteatomatous otitis media. The promontory is not a common site for bone resorption because (1) it is not an area that is involved in accumulation of cholesteatoma perimatrix substances, (2) it is...

Using a sternocleidomastoid muscle flap to prevent postoperative pharyngocutaneous fistula after total laryngectomy: A study of 88 cases

August 28, 2014  |  Masoud Naghibzadeh, MD; Ramin Zojaji, MD; Nematollah Mokhtari Amir Majdi, MD; Morteza Mazloum Farsi Baf, MD


Complications of total laryngectomy can have serious implications for the final outcome of treatment, including pharyngocutaneous fistula. We conducted a retrospective study of surgical techniques to determine how to best prevent or decrease the incidence of pharyngocutaneous...

Endoscopic closure of a frontocutaneous fistula

October 24, 2013  |  Alexandros Tsikoudas, DLO, FRCS(Otol), FRCS(ORL-HNS); Christos Georgalas, PhD, MRCS, FRCS(ORL-HNS)


A frontocutaneous fistula is a rare sequela of frontal sinus pathology. Management via an endoscopic approach is not frequently reported in the literature. We describe such an approach with the aid of still photography and imaging plus videoendoscopy, and we discuss the current...

Transdermal scopolamine in the management of postparotidectomy salivary fistula

October 24, 2013  |  Andrea Gallo, MD, PhD; Valentina Manciocco, MD, PhD; Giulio Pagliuca, MD, PhD; Salvatore Martellucci, MD; Marco de Vincentiis, MD


Parotid fistula represents an uncommon complication in parotid surgery. Its early recognition contributes to successful management. The condition is distressing for both the patient and the surgeon, since conservative and operative treatment frequently fail. There is no...

Coexisting first and bilateral second branchial fistulas in a child with nonfamilial branchio-otic syndrome

July 22, 2013  |  Jose Florencio F. Lapena Jr., MA, MD; Genilou Liv M. Jimena, MD


We describe what we believe is only the third reported case of coexisting first and bilateral second branchial fistulas associated with nonfamilial branchio-otic syndrome. The patient was a 6-year-old girl who presented with bilaterally draining anterior neck puncta, a...

Embryogenic cervico-thyro-piriform tract

October 4, 2012  |  J. Madana, MS, DNB; Deeke Yolmo, MS; Sunil Kumar Saxena, MS; S. Gopalakrishnan, MS


Branchial cleft fistulae are rare congenital anomalies that arise from the abnormal persistence of branchial remnants. Branchial arch anomalies are rare. They usually present as a lateral neck mass or abscess in the form of acute suppurative thyroiditis. A...

Bilateral congenital lacrimal fistulae: A case report

May 1, 2012  |  Lei Zhuang, MD; Christin L. Sylvester, DO; Jeffrey P. Simons, MD


A congenital lacrimal fistula is a rare developmental anomaly, usually unilateral. While it is often asymptomatic, some patients present with epiphora or discharge. We report the case of a 4-year-old boy with bilateral lacrimal fistulae. No other systemic, nasal, or ocular...

Recurrent meningitis in an adult secondary to an inner ear malformation: Imaging demonstration

April 1, 2012  |  Nisar Ahmad Wani, MD, Aijaz Rawa, MD, Umar Qureshi, MD, Tasleem Kosar, DMRD, and Irfan Robbani, MD


Congenital labyrinthine dysplasia with a translabyrinthine cerebrospinal fluid (CSF) fistula may be an anatomic cause for recurrent meningitis. This condition is usually seen in children aged 5 to 10 years who present with sensorineural hearing loss (SNHL) and CSF discharge...


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