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Case Reports in Otolaryngology
Volume 2013, Article ID 578091, 5 pages
Case Report

First Branchial Cleft Malformation with Duplication of External Auditory Canal

Department of E.N.T, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry 605006, India

Received 4 August 2013; Accepted 26 September 2013

Academic Editors: J. I. De Diego, W. Issing, K. Tae, and H.-W. Wang

Copyright © 2013 Pradipta Kumar Parida et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


First branchial cleft anomalies are uncommon, accounting for less than 10% of all branchial abnormalities. Their rare occurrence and varied presentation have frequently led to misdiagnosis and inadequate and inappropriate treatment of these conditions leading to repeated recurrences and secondary infection. In this paper, a case of 11-year girl with type 2 first branchial cleft defect is described. She first presented with a nonhealing ulcer of upper neck from childhood. Diagnosis had previously been missed and treated as tubercular ulcer. We confirmed the correct diagnosis by history and computerized tomography fistulogram. The lesion was completely excised with no further recurrence.