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Fig. 3 | Journal of Otolaryngology - Head & Neck Surgery

Fig. 3

From: Third or fourth branchial pouch sinus lesions: a case series and management algorithm

Fig. 3

Small incision to excise the external fistula. a Making a small incision along the neck skin (T: trachea, : external fistula). b Dissecting to the CJ (cricothyroid joint) along the scar and normal tissue gap. c Dissecting around the important anatomical features, namely, the recurrent laryngeal nerve (RLN) and carotid artery (CA), and completely removing the entire lesion of the fistula, the surrounding scar and the involved upper lobe of the thyroid

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