本文报告8例第一鳃裂瘘管,详细讨论了胚胎发生学、分型、诊断及治疗。认为Work 两型分法对手术治疗有指导意义。提出下颌角附近有持续性瘘管,特别是伴有耳流脓而听力及鼓膜正常者,首先考虑为本病。手术治疗最好行类似腮腺手术的切口,术中应注意保护面神经和腮腺。防止复发的关键是彻底切除瘘管组织。 This article reports 8 cases of the first branchial fistula, discusses in detail embryogenesis, typing, diagnosis and treatment. Two types of work that the Work of surgical guidance. Proposed continuous mandibular fistula near the fistula, especially with ear festering and normal hearing and tympanic membrane, the first consideration of this disease. Surgical treatment is best performed similar to the parotid gland surgery incision, surgery should pay attention to protect the facial nerve and parotid gland. The key to prevent recurrence is complete removal of fistula tissue.