Diagnostic value of multi-slice spiral computerized tomographic fistulography in congenital fistula of neck
10.3760/cma.j.issn.1673-0860.2017.08.008
- VernacularTitle: 多层螺旋CT联合瘘管造影对先天性颈部瘘管的诊治价值
- Author:
Hao ZHENG
1
;
Qing YE
1
,
2
;
Xiaoyan WANG
1
;
Xiaohong ZHENG
3
;
Xinqing YANG
1
;
Yong CHEN
1
;
Yi JIANG
1
;
Ruiyu LI
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, Fujian Provincial Hospital, Provincial Clinical College of Fujian Medical University, Fuzhou 350001, China
2. Department of Otorhinolaryngology Head and Neck Surgery, Fujian Provincial Hospital North Branch, Fujian Provincial Geriatric Hospital, Fujian Medical University, Fuzhou 350009, China
3. Department of Radiology, Fujian Provincial Hospital, Provincial Clinical College of Fujian Medical University, Fuzhou 350001, China
- Publication Type:Journal Article
- Keywords:
Tomography, X-ray computed;
Fistula;
Thyroglossal cyst;
Branchial region;
Congenital abnormalities
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2017;52(8):597-603
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the usefulness and effectiveness of multi-slice spiral computerized tomographic fistulography (MSCTF) in the diagnosis and treatment of congenital fistula of neck.
Methods:Thirty-four patients with thyroglossal fistulasor branchial cleft fistulas who were initial treated from July 2008 to August 2015 in Fujian Provincial Hospital were retrospectively analyses. Thirteen males and 21 females patients aging from 3 to 46 years old with a median age of 37 were included. There were thyroglossal fistula in 6 cases, the first branchialcleft fistula in 9 cases, the second branchialcleft fistula in 3 cases, the third branchialcleft fistula in 9 cases, and the fourth branchialcleft fistula in 7 cases. All the patients underwent preopeative MSCTF and the diagnoses were finally confirmed with surgery and histopathology. Multiplanar reconstruction(MPR), maximumintensity projection(MIP)and volume rendering(VR) were completed with AW Volume Share 4.2 image processing software after initial CT scanning.The internal openings, distribution, and neighboring relationship of the fistulas showed by MSCTF were analyzed and the surgical strategies were subsequently made.
Results:Except 2 cases, 32 patients had obtained successfully MSCTF image. The presence and location of the fistulas could be showed clearly on MSCTF. Based on the results of MSCTF examination, the surgical planes to treat the fistulas were made. The fistulas in all cases were successfully found and excised. Three cases underwent selective neck dissection. Postoperative infection occurred in 1 case. Unilateral vocal fold paralysis due to surgery recovered 3 months after surgery with follow-up. One case lost follow-up, the remaining 33 cases were followed up for 13-97 months with no the fistula recurrence.
Conclusions:MSCTF could provide valuable information and benefit surgical planning by demonstrating the coursesof congenital fistulas of neck in detail.
