{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:43:24Z","timestamp":1782398604358,"version":"3.54.5"},"reference-count":22,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp;amp; Neck"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate three surgical procedures for the treatment of third branchial cleft fistulas, focusing on recurrence rates and postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A retrospective review of medical records was conducted for patients treated for third branchial cleft fistulas at the Department of Otorhinolaryngology\u2010Head and Neck Surgery, First Affiliated Hospital of Chongqing Medical University, from January 2014 to October 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary care hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patient demographics, clinical presentations, surgical details, complications, outcomes, and follow\u2010up data were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The cohort consisted of 14 males and 15 females with a median age of 27\u2009years. The left neck was affected in 82.76% of cases. The most frequent symptoms were neck swelling (89.66%) and pain (77.78%). No postoperative complications, particularly pharyngocutaneous fistulas or vocal cord paralysis, occurred. Overall, seven patients in our cohort had an internal fistula located in the piriform fossa found under preoperative fibrolaryngoscopy. Recurrence was observed in 17.6% of patients who underwent open surgery alone during a follow\u2010up period ranging from 37 to 120\u2009months, while no recurrence was noted in patients who had additional endoscopic resection plus suture ligation or endoscopic resection plus suture ligation alone. The three procedures showed significant differences in the operation time, blood loss, and postoperative hospital stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The endoscopic resection plus suture ligation approach demonstrated a low recurrence rate and offered aesthetic and minimally invasive advantages in this study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.28165","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T02:41:51Z","timestamp":1744771311000},"page":"2448-2453","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Minimally Invasive Endoscopic Resection and Suture Ligation for Third Branchial Cleft Fistulas: Low Recurrence and Reduced Trauma"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7545-2975","authenticated-orcid":false,"given":"Jiamei","family":"Wen","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery The First Affiliated Hospital of Chongqing Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery The First Affiliated Hospital of Chongqing Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guohua","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery The First Affiliated Hospital of Chongqing Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quan","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery The First Affiliated Hospital of Chongqing Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhihai","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery The First Affiliated Hospital of Chongqing Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537\u2010199509000\u201000007"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215100118900"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247\u2010021\u201005245\u2010y"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463\u2010019\u20100371\u20106"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.27325"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2011.08.015"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010023\u201008209\u20100"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.1673\u20100860.2017.12.019"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2015.11.012"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.6105"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894211070144"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.09.001"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000016799"},{"issue":"6","key":"e_1_2_9_15_1","first-page":"247","article-title":"Utilization of Functional Neck Dissection for Treatment of Recurrent Branchial Cleft Anomalies","volume":"24","author":"Zhang X.","year":"2010","journal-title":"Lin Chuang Er bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/01455613241253924"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v7.i23.3957"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.971"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/01455613221117004"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000021323"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010005\u20100606\u20108"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.03.001"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.66551"}],"container-title":["Head &amp; 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