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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 1018-4406
Vol. 18, No. 3, 2008, pp. 285-289
Bioline Code: pe08046
Full paper language: English
Document type: Case Report
Document available free of charge

Iranian Journal of Pediatrics, Vol. 18, No. 3, 2008, pp. 285-289

 en Reporting a Right Sided 4th Branchial Anomaly; Case Report and Reporting the Technical Issues
Ashtiani, Mohammadtaghi Khorsandi; Yazdani, Nasrin; Bastaninejad, Shahin & Dadgarnia, Mohammadhossein


Background: Fourth branchial pouch anomaly (4BPA) is a rare condition that often presents an extreme diagnostic and therapeutic challenge. It usually causes recurrent left thyroid or perithyroid tissue inflammation, but it can be situated in the right side too.
Case presentation: In this case report we present a nine-year-old girl with right sided 4BPA. She was referred for evaluation of recurrent right muscular space mass and fistulathat was unresponsive to any medical or surgical procedures. This paper demonstrates the proper technical issues about diagnostic work up and surgical approach that we used to manage her dilemma.
Conclusion: In patients with both skin fistula and pyriform sinus opening, external cannulation is more convenient and less traumatizing than internal cannulation.

Fourth branchial anomaly; Pyriform sinus fistula; Neck fistula; Recurrent thyroid abscess

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