Diagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children

Introduction: Congenital piriform sinus fistula is a relatively rare type of disease in clinical practice, most occurring during childhood, but doctors have insufficient knowledge regarding this disease, easily misdiagnosing it. Objectives: This study aimed to identify the characteristics of deep ne...

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Autores principales:	Jing Bi, Xiaowei Chen, Zhiying Zhou, Bin Xu, Yong Fu
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Congenital piriform sinus fistula Deep neck abscess Children Diagnosis Treatment Otorhinolaryngology RF1-547
Acceso en línea:	https://doaj.org/article/3eca91d666014698920676cac23c88ff
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spelling	oai:doaj.org-article:3eca91d666014698920676cac23c88ff2021-11-06T04:23:27ZDiagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children1808-869410.1016/j.bjorl.2019.12.008https://doaj.org/article/3eca91d666014698920676cac23c88ff2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1808869420300094https://doaj.org/toc/1808-8694Introduction: Congenital piriform sinus fistula is a relatively rare type of disease in clinical practice, most occurring during childhood, but doctors have insufficient knowledge regarding this disease, easily misdiagnosing it. Objectives: This study aimed to identify the characteristics of deep neck abscess due to congenital piriform sinus fistula in children. Methods: We performed a retrospective study of 21 cases from January 2016 to August 2018 in our hospital. The onset age, clinical characteristics, auxiliary examination and clinical treatment of the patients was summarized to analyze the diagnosis, treatment characteristics and prognosis. Results: Children from 11 days to 12 years-old were enrolled, with an average age of 3.5 years. Twenty patients had left congenital piriform sinus fistula and 1 had right congenital piriform sinus fistula. Cervical enhanced computed tomography imaging showed gas-liquid equilibrium or air-shadow in the abscesses in 18 cases, and neck ultrasound demonstrated gas echo in the thyroid region in 10 cases. All patients underwent low temperature plasma to seal the internal fistula and returned to the hospital for electronic laryngoscope and neck ultrasound examination at 3 months, 6 months and 1 year after the surgery. No recurrence occurred in any patient. Conclusion: Congenital piriform sinus fistula is an important cause of deep neck abscess in children. The presence of purulent gas-liquid equilibrium or air shadow in cervical-enhanced computed tomography or ultrasound suggests a high possibility of the presence of an internal fistula, and endoscopic low temperature ablation can be done at the same time as the diagnostic endoscopy.Jing BiXiaowei ChenZhiying ZhouBin XuYong FuElsevierarticleCongenital piriform sinus fistulaDeep neck abscessChildrenDiagnosisTreatmentOtorhinolaryngologyRF1-547ENBrazilian Journal of Otorhinolaryngology, Vol 87, Iss 6, Pp 655-660 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Congenital piriform sinus fistula Deep neck abscess Children Diagnosis Treatment Otorhinolaryngology RF1-547
spellingShingle	Congenital piriform sinus fistula Deep neck abscess Children Diagnosis Treatment Otorhinolaryngology RF1-547 Jing Bi Xiaowei Chen Zhiying Zhou Bin Xu Yong Fu Diagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children
description	Introduction: Congenital piriform sinus fistula is a relatively rare type of disease in clinical practice, most occurring during childhood, but doctors have insufficient knowledge regarding this disease, easily misdiagnosing it. Objectives: This study aimed to identify the characteristics of deep neck abscess due to congenital piriform sinus fistula in children. Methods: We performed a retrospective study of 21 cases from January 2016 to August 2018 in our hospital. The onset age, clinical characteristics, auxiliary examination and clinical treatment of the patients was summarized to analyze the diagnosis, treatment characteristics and prognosis. Results: Children from 11 days to 12 years-old were enrolled, with an average age of 3.5 years. Twenty patients had left congenital piriform sinus fistula and 1 had right congenital piriform sinus fistula. Cervical enhanced computed tomography imaging showed gas-liquid equilibrium or air-shadow in the abscesses in 18 cases, and neck ultrasound demonstrated gas echo in the thyroid region in 10 cases. All patients underwent low temperature plasma to seal the internal fistula and returned to the hospital for electronic laryngoscope and neck ultrasound examination at 3 months, 6 months and 1 year after the surgery. No recurrence occurred in any patient. Conclusion: Congenital piriform sinus fistula is an important cause of deep neck abscess in children. The presence of purulent gas-liquid equilibrium or air shadow in cervical-enhanced computed tomography or ultrasound suggests a high possibility of the presence of an internal fistula, and endoscopic low temperature ablation can be done at the same time as the diagnostic endoscopy.
format	article
author	Jing Bi Xiaowei Chen Zhiying Zhou Bin Xu Yong Fu
author_facet	Jing Bi Xiaowei Chen Zhiying Zhou Bin Xu Yong Fu
author_sort	Jing Bi
title	Diagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children
title_short	Diagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children
title_full	Diagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children
title_fullStr	Diagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children
title_full_unstemmed	Diagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children
title_sort	diagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/3eca91d666014698920676cac23c88ff
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_version_	1718443911700021248

Diagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children

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