Fistula

A large postauricular cutaneous mastoid fistula caused by a cholesteatoma

March 31, 2010     Raman Wadhera, MS, S.P. Gulati, MS, Vijay Kalra, MS, Anju Ghai, MD, and Ajay Garg, MS
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Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas

September 30, 2009     Kemmannu Vikram Bhat, MS, DNB, PhD, Shankarappa Gangadharaiah Udayashankar, MS, DLO, and Belur Keshavamurthy Venkatesha, MS, DNB; Praveen Kumar, MS
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Abstract

Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of atticoantral CSOM is rare. This kind of complication has a very morbid effect on the ear, and it poses a therapeutic challenge in terms of eradicating disease and restoring function. In this article, we describe the unusual course of an atticoantral CSOM that (1) began as a primary acquired cholesteatoma simultaneously in both ears, (2) proceeded to automastoidectomy and a severe mixed hearing loss bilaterally, and (3) ended with the development of bilateral cutaneous mastoid fistulas that served to arrest the further progression of the disease process on its own. This case serves as a good demonstration of how a ventilating mastoid fistula can change the natural course of atticoantral CSOM and abort the occurrence of deadly complications.

Fistulography: A useful imaging modality for identifying the exact location and extent of complete branchial fistulas

August 31, 2009     Sampan Singh Bist, MS, Saurabh Varshney, MS, Rakesh Kumar, MS, and Nitin Gupta, MS
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Fistula between the carotid artery and larynx in a 67-year-old man

July 31, 2009     Dary J. Costa, MD, Mark A. Varvares, MD, and B. Kirke Bieneman, MD
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Aortoesophageal fistula: A case report

February 1, 2009     David Tighe, MBChB, Andy Wood, MB, and Savita Kale, MRCS(Eng)
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Abstract

Patients with impacted foreign bodies in the upper aerodigestive tract present commonly to ENT clinics. This case report highlights two important issues in the management of these patients. First, if the evidence of esophageal perforation is strong and contrast swallow is negative, the physician must consider further imaging, such as contrast computed tomography. Second, ENT physicians must beware of the complications of esophageal trauma, including major vascular injury and aortoesophageal fistula, in patients with retained sharp foreign bodies in the mid-esophagus.

Transfistula endoscopic closure of frontocutaneous fistula: A novel approach

January 1, 2009     Perumal Gounder Chokkalingam, BSc, FRCS, Ravi Sachidananda, MS, MRCS, Sanjay Verma, MRCS, PhD, Arcot Maheshwar, FRCS, FRCS (ORL-HNS), and Robert Duncan Roderick, McRae, FRCS, FRCS (ORL-HNS)
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Abstract

A fistula of the anterior table of the frontal sinus is an uncommon complication of acute frontal sinus abscess. Various methods to close a frontocutaneous fistula have been described. We present the second reported transfistula endoscopically assisted primary closure of a frontocutaneous fistula, which eliminated the need for major surgical intervention. We also review the etiology, pathogenesis, diagnosis, and management of frontocutaneous fistula.

Bilateral first and second branchial cleft fistulas: A case report

April 30, 2008     Ashok K. Gupta, MS, DLO, Sudesh Kumar, MS, DNB, and Ajay Jain, MS, DNB
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Abstract

Branchial cleft anomalies—which include branchial cysts, sinuses, and fistulas—are uncommon developmental defects of the neck. Approximately 2 to 3% of cases are bilateral; bilateral presentations appear to have a familial component. Only 5 cases of bilateral branchial cleft fistulas have been reported in the English-language literature, and only 1 case of simultaneous first and second branchial cleft fistulas has been previously reported. We report what to the best of our knowledge is the second case of bilateral first and second branchial cleft fistulas.

Noise-induced perilymph fistula

April 1, 2006     Brian Kung, MD; Robert T. Sataloff, MD, DMA
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Abstract
Perilymph fistulae are difficult to diagnose because they present with a wide variety of signs and symptoms, they are associated with many etiologies, and they often mimic other conditions. In this article, we describe a case of perilymph fistula that featured one of its more rare causes: acoustic trauma-specifically, damage from a loud blast from the siren of a fire engine. We also review the literature and discuss the difficulties of diagnosis and treatment and the possible mechanisms by which acoustic trauma and other etiologies cause perilymph fistulae.

Oval window fistula

April 1, 2006     Arun Gadre, MD
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Tracheoesophageal fistula

September 30, 2004     Susan G. Butler, PhD, CCC-SLP; Gregory N. Postma, MD
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Perilymphatic fistula

September 30, 2004     Marie Noelle Calmels, MD; Olivier Deguine, MD
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