The use of catheter simplifies the excision of complete brachial fistula—A novel technique

The various treatment modalities involved in the treatment of branchial fistula such as step ladder excision and use of strippers are well described in the literature.

We hereby report a case of complete branchial fistula and our modification in its management. By catheterizing the fistulous tract we were able to avoid extensive dissection, thus making the procedure relatively simple, less time consuming and ensuring a complete removal of the fistulous tract. This technique also overcomes the complication encountered with other surgical options such as injury to facial nerve and blood vessels of the neck.