Clinical analysis of surgical treatment and postoperative efficacy in piriform sinus fistula with acute inflammatory period of children.
10.13201/j.issn.2096-7993.2025.02.012
- Author:
Yufeng GUO
1
;
Xingqiang GAO
1
;
Zhengmin XU
2
;
Haiyan DENG
1
;
Xiaohui WU
1
Author Information
1. Department of Otolaryngology Head and Neck Surgery，Xiamen Children's Hospital，Xiamen，361001，China.
2. Department of Otolaryngology Head and Neck Surgery，Children's Hospital of Fudan University.
- Publication Type:Journal Article
- Keywords:
acute inflammatory period;
children;
congenital pyriform sinus fistula;
low-temperature radiofrequency ablaion
- MeSH:
Humans;
Pyriform Sinus/abnormalities*;
Abscess/surgery*;
Drainage;
Fistula/congenital*;
Female;
Male;
Child;
Radiofrequency Ablation;
Treatment Outcome;
Postoperative Period;
Endoscopy;
Laryngoscopy;
Inflammation;
Child, Preschool
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2025;39(2):158-162
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the clinical efficacy of low-temperature radiofrequency ablation assisted by endoscopy combined with resection and drainage of cervical abscess for the treatment of congenital pyriform sinus fistula （CPSF） in the acute inflammatory period of children. Methods:Clinical data of 30 patients with CPSF in the acute inflammatory period who received low-temperature radiofrequency ablation assisted by endoscopy under laryngoscope, combined with resection and drainage of cervical abscess, from January 2018 to December 2023 were reviewed. After the operation, patients were followed up closely at different stages. All patients underwent color Doppler ultrasound and electronic laryngoscopy, and the results were analyzed. Results:All 30 children successfully completed the surgery without pharyngeal fistula, dysphagia, perifistula, or distal fistula infection, and the incision in the neck healed well. The follow-up survey ranged from 6 months to 2 years, and no recurrences were observed. Conclusion:Low-temperature radiofrequency ablation assisted by endoscopy combined with resection and drainage of cervical abscess is a promising method for treating CPSF in the acute inflammatory period. It is less traumatic, simple, safe, has a significant curative effect, and a low recurrence rate. This approach can be used as a supplementary operation for CPSF in children and provides a new way for clinical treatment.
