Journal article

Fourth branchial sinus causing recurrent cervical abscess.

PP Burstin, RJ Briggs

Aust N Z J Surg | Published : 1997


BACKGROUND: Three patients who presented with recurrent cervical abscesses were found to have a branchial sinus arising in the piriform fossa. Each patient had previously had cervical abscess drainage procedures. METHODS: A retrospective review of patients with recurrent cervical abscess and associated fourth branchial sinus was carried out. RESULTS: In each case, imaging and endoscopy identified a sinus tract from the left piriform fossa. Neck exploration with hemithyroidectomy and excision of the sinus tract was performed without further recurrence of abscess. CONCLUSIONS: We believe these cases to represent a fourth branchial sinus. The relevant embryology and anatomy of the branchial app..

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