Branchial Fistula Excision: Climbing Heights on Elevator, Rather than using a Ladder.

Abstract

Branchial anomalies are the end result of defects in the development of the branchial arches, pouches and clefts. Based on the origin, branchial anomalies are classified into first, second, third and fourth branchial anomalies. Morphologically, they are classified into fistula, cyst and sinus. Branchial anomalies associated with second arch derivatives are the most common (90-95%), which commonly presents during the 2nd decade of life.