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Diagnosis and management of congenital pyriform sinus fistula / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery ; (12): 728-732, 2011.
Artigo em Chinês | WPRIM | ID: wpr-322484
ABSTRACT
<p><b>OBJECTIVE</b>To explore the clinical presentation and management principles of congenital pyriform sinus fistula.</p><p><b>METHODS</b>Seven sequential cases of congenital pyriform sinus fistula (CPSF) treated between January 2007 and January 2011 were reported. The clinical presentation were recurrent left lower neck abscess or acute suppurative thyroiditis. All of these patients had past histories of misdiagnosis ranged from 3 years to 11 years. All the patients had undergone incision and drainage several times. In acute infection period, these patients received incision and drainage, after inflammation subsided, were treated with definitive surgery.</p><p><b>RESULTS</b>After barium swallow study and CT examination in the quiescent stage of infection, 5 patients could be seen fistula in the pyriform, all the patients were found scar tissue near the left thyroid lobe, 4 patients received direct laryngoscope examination and 3 of them could be found inner orifice near the apex of pyriform sinus, fistula and the involved lobe of thyroid were successfully excised without permanent recurrent laryngeal nerve injury or hypothyroidism. All the patients had an uneventful recovery and remained symptom free from 5 months to 40 months.</p><p><b>CONCLUSIONS</b>The clinical history of recurrent low neck inflammatory episodes in patients, especially on the left side, should raise the suspicion of CPSF, investigation using barium swallow in combination with CT scanning is useful. CPSF can be treated by excising the fistula and involved lobe of thyroid.</p>
Assuntos
Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Cirurgia Geral / Diagnóstico por Imagem / Radiografia / Doenças Faríngeas / Diagnóstico / Abscesso / Fístula Tipo de estudo: Estudo diagnóstico Limite: Adolescente / Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino Idioma: Chinês Revista: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Ano de publicação: 2011 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Cirurgia Geral / Diagnóstico por Imagem / Radiografia / Doenças Faríngeas / Diagnóstico / Abscesso / Fístula Tipo de estudo: Estudo diagnóstico Limite: Adolescente / Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino Idioma: Chinês Revista: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Ano de publicação: 2011 Tipo de documento: Artigo