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ADULT PRESENTATION OF BILATERAL BRANCHIAL SINUS WITH AUTOSOMAL DOMINANT TRANSMISSION IN FOUR MEMBERS OF THE FAMILY: A RARE CASE STUDY

This report describes a case of a bilateral second branchial stula that presented as a persistent discharging sinus in the lower neck associated with
pain and swelling in the neck, in a 36-years-old female with autosomal dominant transmission in her all the three daughters. Diagnostic-imaging
modalities to aid in diagnosis and treatment plan are discussed. The surgical technique of removing the stula through a stepladder incision anterior
to the sternocleidomastoid muscle and an upward dissection is described along with a discussion on other surgical methods. Four cases were
encountered in the family, with no otologic or kidney symptoms, which is quite different from the classical branchio-oto-renal syndrome which
associates severe inner ear and kidney congenital anomalies.