Diagnosis and treatment of pyriform sinus perforation

VernacularTitle:梨状窝穿孔的诊断和治疗
Author: Qing CHENG ¹ ; Bang-Hua LIU ; Ji-Bao WANG
Author Information

1. 华中科技大学附属协和医院耳鼻咽喉头颈外科
Keywords: Hypopharynx; Wounds and injuries; Diagnosis; Therapy
From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2013;48(2):139-142
CountryChina
Language:Chinese
Abstract: Objective To investigate the early diagnosis,treatment and prognosis of pyriform sinus perforation.Methods Fifteen patients were diagnosed to have pyriform sinus perforation,most of them were associated with pharyngeal pain or fever.Contrast X-ray and CT scan were used to confirm the perforation.Results Conservative treatment was used in 9 cases with wild symptoms and surgical intervention in 6 cases with severe symptoms and complications.Both methods achieved better clinical efficacy.By relevant examination,the perforation healed within 2-4 weeks and none had re-perforation for 1-30 months follow-up.Conclusions Pyriform sinus perforation with wild symptoms and within 12 hours can be treated conservatively.Large perforation(＞ 2 cm)last more than 12 hours or with any complications require exploration,surgical repair if possible and adequate drainage.Early diagnosis and effective treatment can reduce the incidence of complications and improve the survival rate of patients.