Piriform sinus fistula management approach – our experience

Branchial anomalies are a group of malformations resulting from incomplete closure of the pharyngeal pouches and clefts. They manifest as cysts, fistulae and sinus tracts located in the neck. We present the case of a 3 years-old girl admitted to the Surgery Department of our hospital for reccurent abssceses on the left side of her neck, lateral to the sternocleidomastoid muscle. Management approach should be tailored according to the dimensions of the sinus and its relationships with the carotid artery and reccurent laryngeal nerve