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October 1933


Author Affiliations

From the Clinical Conference of the New England Hospital for Women and Children, Roxbury, Mass., the Massachusetts Eye and Ear Infirmary and the Massachusetts General Hospital, Boston.

Arch Otolaryngol. 1933;18(4):510-515. doi:10.1001/archotol.1933.03580060542007

This report is made because of the infrequent occurrence of the complete branchiogenic fistula with the external and internal openings present and without cystic enlargement throughout the fistulous tract. The case which I am reporting has the distinctive characteristics of the complete branchiogenic fistula. Six patients with this condition were operated on in the Massachusetts General Hospital and in the Massachusetts Eye and Ear Infirmary during the years 1926 to 1931.

According to Thompson,1 a satisfactory classification of cysts of the neck of branchials origin is:

  1. Lymphatic cysts. Located in the lower part of the neck in the posterior triangle. They are derived from the jugular sinus and may extend under the clavicle.

  2. Thyroglossal cysts, which occur in the midline as lingual cysts, or below the hyoid under the deep fascia. They are derived from the thyroglossal duct which is formed by a bud of hypoblast which grows down between the

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