Progress in diagnosis and treatment of pyriform fistula in children
10.3760/cma.j.issn.1673-4408.2014.04.023
- VernacularTitle:儿童颈部梨状窝瘘诊治进展
- Author:
Wei WU
;
Zhibao LYU
- Publication Type:Journal Article
- Keywords:
Pyriform sinus fistula;
Barium esophagography;
Endoscopy;
Diagnosis;
Treatment
- From:
International Journal of Pediatrics
2014;(4):418-420
- CountryChina
- Language:Chinese
-
Abstract:
Pyriform sinus fistula,owing to rare disease incidence and lacking of awareness,is always a puzzle to neck illness. At the mean time,The frequent delay in accurate diagnosis was reported in the literature. Pyriform sinus fistula should be considered in any children with repeated neck or thyroid infection/mass( mainly on the left side) . The combination of barium esophagography,CT scan and ultrasound is useful to establish the diagnosis. Intraoperative endoscopy-assisted intubation or methylene blue injection through the internal opening as a guide can facilitate identification of the tract during dissection,and it can effectively reduce the relapse rate.