Intraoperative fistulograms in the management of branchial apparatus abnormalities in children

Int J Pediatr Otorhinolaryngol. 2008 Dec;72(12):1777-82. doi: 10.1016/j.ijporl.2008.08.017. Epub 2008 Oct 5.


Objective: We sought to evaluate the role and efficacy of intraoperative fistulograms in visualizing branchial apparatus (fistula/sinus) abnormalities in the pediatric age group (3 months-12 years).

Methods: This was a retrospective analysis of 20 pediatric patients who underwent fistula and/or sinus excision during a period of 18 years (1988-2006).

Results: The male:female ratio was 11:9. Eighteen of the 20 patients presented with unilateral abnormalities, 2 with bilateral abnormalities. An intraoperative fistulogram was utilized in every instance. The fistulogram clearly differentiated the sinus tracts from complete fistulas in all cases. It was also highly useful in delineating the exact length and course of the sinus/fistula tracts.

Conclusions: Intraoperative fistulograms are easy to do in the operating room on the day of the scheduled surgery. They are a very useful tool in the management of branchial apparatus abnormalities.

MeSH terms

  • Branchial Region / abnormalities*
  • Branchial Region / diagnostic imaging
  • Child
  • Child, Preschool
  • Contrast Media
  • Cutaneous Fistula / diagnostic imaging*
  • Female
  • Humans
  • Infant
  • Intraoperative Care*
  • Iohexol
  • Male
  • Radiography
  • Retrospective Studies


  • Contrast Media
  • Iohexol