Clinical Features and Treatment of Congenital Pyriform Sinus Fistula: Analysis of 12 Cases

doi:10.1177/01455613221117004

科研成果详情

题名	Clinical Features and Treatment of Congenital Pyriform Sinus Fistula: Analysis of 12 Cases
作者	Zhang, Shurou; Yuan, Ziyi; Xia, Zhigang; Chen, Huanqi; Zhang, Ziheng; Chen, Mengjiao; Ye, Fan
发表日期	2022-08-13
发表期刊	ENT-EAR NOSE & THROAT JOURNAL 影响因子和分区
语种	英语
原始文献类型	Article ; Early Access
关键词	congenital pyriform sinus fistula endoscopy neck abscess infection pharynx
其他关键词	NECK ABSCESS ; MANAGEMENT ; CAUTERIZATION ; DIAGNOSIS ; ANOMALIES ; 3RD
摘要	Background Congenital pyriform sinus fistula (CPSF) is a rare congenital disease derived from the remnants of the third or fourth branchial cleft. Objectives To investigate the imaging characteristics, clinical manifestations, surgical methods, complications, and personalized treatment of CPSF. Material and Methods The clinical data of 12 CPSF patients admitted to the Department of Otorhinolaryngology Head and Neck Surgery of the First Affiliated Hospital of Wenzhou Medical University from March 2016 to May 2021 were retrospectively analyzed. Cryogenic plasma radiofrequency ablation, carbon dioxide laser resection, and external cervical excision were selected based on the individual condition, and postoperative complications and efficacy were evaluated. Results There were 6 men and 6 women. Neck abscess or thyroiditis was considered at the initial diagnosis. In 11 of the cases, the CPSF was on the left side, whereas in the rest one case, it was on the right. A pyriform fossa fistula was observed during hypopharyngeal iodine angiography. Eight patients were treated with endoscopic piriform fossa fistula laser resection, two with cryogenic plasma radiofrequency ablation, and the rest with external cervical fistula resection. There was no evidence of postoperative hoarseness, pharyngeal fistula, dysphagia, and other complications. Conclusion and Significance CPSF is less common in adults than in children. For patients with recurrent neck abscesses, CPSF should be highly suspected, timely angiography should be performed as soon as possible, and care should be taken to avoid missed diagnoses. The primary method for piriform fossa fistula removal is surgical treatment. Finally, tailoring treatment regimens to the patient's condition can significantly improve curative efficacy.
资助项目	Natural Science Foundation of Zhejiang Province, China [LY19H130001]
出版者	SAGE PUBLICATIONS INC
出版地	THOUSAND OAKS
ISSN	0145-5613
EISSN	1942-7522
卷号	103 期号:5 页码:1455613221117004
DOI	10.1177/01455613221117004
页数	5
WOS类目	Otorhinolaryngology
WOS研究方向	Otorhinolaryngology
WOS记录号	WOS:000840343300001
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	35968827
SCOPUSEID	2-s2.0-85135934888
通讯作者地址	[Ye, Fan]Department of Otorhinolaryngology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China
Scopus学科分类	Otorhinolaryngology
引用统计	被引频次[WOS]：0 [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/154227
专题	附属第一医院_耳鼻咽喉科
通讯作者	Ye, Fan
作者单位	Department of Otorhinolaryngology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China
第一作者单位	附属第一医院; 第一临床医学院（信息与工程学院）、附属第一医院
通讯作者单位	附属第一医院; 第一临床医学院（信息与工程学院）、附属第一医院
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	Zhang, Shurou,Yuan, Ziyi,Xia, Zhigang,et al. Clinical Features and Treatment of Congenital Pyriform Sinus Fistula: Analysis of 12 Cases[J]. ENT-EAR NOSE & THROAT JOURNAL,2022,103(5):1455613221117004.
APA	Zhang, Shurou., Yuan, Ziyi., Xia, Zhigang., Chen, Huanqi., Zhang, Ziheng., ... & Ye, Fan. (2022). Clinical Features and Treatment of Congenital Pyriform Sinus Fistula: Analysis of 12 Cases. ENT-EAR NOSE & THROAT JOURNAL, 103(5), 1455613221117004.
MLA	Zhang, Shurou,et al."Clinical Features and Treatment of Congenital Pyriform Sinus Fistula: Analysis of 12 Cases".ENT-EAR NOSE & THROAT JOURNAL 103.5(2022):1455613221117004.