Experience of diagnosis and treatment for congenital pyriform sinus fistula
10.3760/cma.j.issn.1673-0860.2018.06.011
- VernacularTitle: 先天性梨状窝瘘的诊断与治疗经验探讨
- Author:
Jinjin DONG
1
;
Xiufen TIAN
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
- Publication Type:Journal Article
- Keywords:
Congenital abnormalities;
Pyriform sinus fistula;
Coblation
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2018;53(6):444-447
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the imaging features, clinical presentation, operative methods complication and the surgical outcomes of the congenital pyriform sinus fistula(CPSF).
Methods:The clinical data of 185 patients with CPSF treated from January 2013 to October 2017 at the First Affiliated Hospital of Zhengzhou University were analyzed retrospectively.
Results:The lesions were predominantly on the left side(170/185). Among 185 cases, 146 cases received endoscopic coblation cauterization, 27 cases had traditional open surgery, 8 cases underwent endoscopic coblation cauterization plus traditional open surgery, 2 cases for endoscopic chemocauterization, and 2 cases for endoscopic electrosection. Twenty-eight cases recurred, with a recurrence rate of 15.1%. Postoperative hoarseness occurred in 22 cases, disappeared within 0.5-6.0 months later.
Conclusions:Patients with a history of recurrent cervical abscess should be highly suspect the existence of CPSF. Endoscopic coblation cauterization is a kind of surgical method with minimal injury, with low recurrence rate and low operative risk.
