Intraoperative fistulograms in the management of branchial apparatus abnormalities in children

• Published in: International journal of pediatric otorhinolaryngology Vol. 72; no. 12; pp. 1777 - 1782
• Main Authors: Guarisco, J. Lindhe, Fatakia, Adil
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier Ireland Ltd 01.12.2008
• Subjects: Branchial apparatus; Branchial Region - abnormalities; Branchial Region - diagnostic imaging; Child; Child, Preschool; Congenital neck malformations; Contrast Media; Cutaneous Fistula - diagnostic imaging; Female; Fistulas; Humans; Infant; Intraoperative Care; Iohexol; Male; Otolaryngology; Pediatrics; Radiography; Retrospective Studies; Sinuses; Branchial apparatus; Fistulas; Sinuses; Congenital neck malformations
• ISSN: 0165-5876; 1872-8464
• DOI: 10.1016/j.ijporl.2008.08.017

Summary Objective We sought to evaluate the role and efficacy of intraoperative fistulograms in visualizing branchial apparatus (fistula/sinus) abnormalities in the pediatric age group (3 months–12 years). Methods This was a retrospective analysis of 20 pediatric patients who underwent fistula and/or sinus excision during a period of 18 years (1988–2006). Results The male:female ratio was 11:9. Eighteen of the 20 patients presented with unilateral abnormalities, 2 with bilateral abnormalities. An intraoperative fistulogram was utilized in every instance. The fistulogram clearly differentiated the sinus tracts from complete fistulas in all cases. It was also highly useful in delineating the exact length and course of the sinus/fistula tracts. Conclusions Intraoperative fistulograms are easy to do in the operating room on the day of the scheduled surgery. They are a very useful tool in the management of branchial apparatus abnormalities.