Christopher H Rassekh1, Ken Kazahaya1, Virginia A Livolsi2, Laurie A Loevner1,3, Andy T Cowan1, Gregory S Weinstein1. 1. Department of Otolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania. 2. Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. 3. Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Abstract
BACKGROUND: Congenital cervical salivary duct fistulae are rare entities and can mimic branchial cleft fistulae. Ectopic salivary tissue associated with these pharyngocervical tracts may have malignant potential. METHODS AND RESULTS: We present a case report of a novel surgical approach and review of the literature. A 27-year-old man presented with complaint of drainage from the right side of his neck since early childhood. A tract was found from the posterior tonsillar pillar into the neck and ectopic salivary tissue was found along the tract. A congenital hearing loss was also present. Transoral robotic (TORS)-assisted surgery was used in the management of this patient and allowed excellent visualization of the pharyngeal component of the lesion and a minimally invasive approach. The patient did well with no recurrence. CONCLUSION: TORS was helpful for management of a congenital salivary fistula and may be helpful for branchial cleft fistulae. These lesions may be associated with the branchio-oto-renal (BOR) syndrome.
BACKGROUND:Congenital cervical salivary duct fistulae are rare entities and can mimic branchial cleft fistulae. Ectopic salivary tissue associated with these pharyngocervical tracts may have malignant potential. METHODS AND RESULTS: We present a case report of a novel surgical approach and review of the literature. A 27-year-old man presented with complaint of drainage from the right side of his neck since early childhood. A tract was found from the posterior tonsillar pillar into the neck and ectopic salivary tissue was found along the tract. A congenital hearing loss was also present. Transoral robotic (TORS)-assisted surgery was used in the management of this patient and allowed excellent visualization of the pharyngeal component of the lesion and a minimally invasive approach. The patient did well with no recurrence. CONCLUSION: TORS was helpful for management of a congenital salivary fistula and may be helpful for branchial cleft fistulae. These lesions may be associated with the branchio-oto-renal (BOR) syndrome.
Authors: Giovanni Cammaroto; Luigi Marco Stringa; Henry Zhang; Pasquale Capaccio; Francesco Galletti; Bruno Galletti; Giuseppe Meccariello; Giannicola Iannella; Stefano Pelucchi; Ahmed Baghat; Claudio Vicini Journal: J Clin Med Date: 2020-01-11 Impact factor: 4.241