Beruflich Dokumente
Kultur Dokumente
PAROTID ABSCESS
*Manish Chandra, **Rajeev Krishna Gupta, ***Ritika Bhatt
ABSTRACT
Collaural fistula is a rare 1st branchial cleft anomaly having 2 openings, one in external auditory canal and other
in upper part of neck.We present a case of 10 year old male boy who presented with swelling on left side of neck
in infraaural region and pit like depression in the conchal bowl on lateral most part of left external auditory
canal.Postive AFB smear of aspirated pus confirmed the swelling to be tubercular abscess.CECT neck demonstrated
a fistulous tract from left external auditory canal traversing through the parotid to upper part of neck with
parotid abscess.The rarity and diverse presentation of 1st branchial cleft anomalies have frequently led to
misdiagnosis and inappropriate treatment.We aim to highlight the clinical features of this case which can aid in
diagnosis of 1st branchial cleft anomalies.
Keywords: Collaural fistula, branchial cleft, parotid abscess.
CASE REPORT:
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INTRODUCTION
DISCLOSURES
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REFERENCES:
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CONCLUSION:
Branchial cleft anomalies can present as
preauricular or postauricular or high in neck cyst,
sinuses or fistulous tract. Collaural fistula presents with
two openings one in external auditory canal and other
in upper part of neck.Although congenital in origin,
these can present latter in life. A high index of suspicion,
carefull history and thorough clinical examination is
helpful in making diagnosis. Surgical excision of defect
is treatment of choice after full treatment with
antituberculor drugs.
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