Literature DB >> 23478017

Case series: Endoscopic management of fourth branchial arch anomalies.

G J Watson1, J R Nichani, M P Rothera, I A Bruce.   

Abstract

INTRODUCTION: Fourth branchial arch anomalies represent <1% of all branchial anomalies and present as recurrent neck infections or suppurative thyroiditis. Traditionally, management has consisted of treatment of the acute infection followed by hemithyroidectomy, surgical excision of the tract and obliteration of the opening in the pyriform fossa. Recently, it has been suggested that endoscopic obliteration of the sinus tract alone using laser, chemo or electrocautery is a viable alternative to open surgery.
OBJECTIVES: To determine the results of endoscopic obliteration of fourth branchial arch fistulae in children in our institute.
METHODS: Retrospective case note review of all children undergoing endoscopic treatment of fourth branchial arch anomalies in the last 7 years at the Royal Manchester Children's Hospital. Patient demographics, presenting symptoms, investigations and surgical technique were analysed. The primary and secondary outcome measures were resolution of recurrent infections and incidence of surgical complications, respectively.
RESULTS: In total 5 cases were identified (4 females and 1 male) aged between 3 and 12 years. All presented with recurrent left sided neck abscesses. All children underwent a diagnostic laryngo-tracheo-bronchoscopy which identified a sinus in the apex of the left pyriform fossa. This was obliterated using electrocautery in 1 patient, CO₂ laser/Silver Nitrate chemocautery in 2 patients and Silver Nitrate chemocautery in a further 2 patients. There were no complications and no recurrences over a mean follow-up period of 25 months (range 11-41 months).
CONCLUSION: Endoscopic obliteration of pyriform fossa sinus is a safe method for treating fourth branchial arch anomalies with no recurrence.
Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

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Year:  2013        PMID: 23478017     DOI: 10.1016/j.ijporl.2013.02.007

Source DB:  PubMed          Journal:  Int J Pediatr Otorhinolaryngol        ISSN: 0165-5876            Impact factor:   1.675


  8 in total

1.  ["Massive hemoptysis" and shock after fever and cough].

Authors:  Liang-Ji Deng; Jie Xiong; Li-Li Zhong; Xiao-Juan Lin; Xu-Ping Xiao; Zhi-Qun Mao
Journal:  Zhongguo Dang Dai Er Ke Za Zhi       Date:  2022-06-15

Review 2.  Successful endoscopic ablation of a pyriform sinus fistula in a child: case report and literature review.

Authors:  Paulette I Abbas; Corrie E Roehm; Ellen M Friedman; Ioanna Athanassaki; Eugene S Kim; Mary L Brandt; David E Wesson; Monica E Lopez
Journal:  Pediatr Surg Int       Date:  2016-01-28       Impact factor: 1.827

Review 3.  Bilateral Piriform sinus fistulas: a case study and review of management options.

Authors:  Deanna Lammers; Ross Campbell; Jorge Davila; Johnna MacCormick
Journal:  J Otolaryngol Head Neck Surg       Date:  2018-02-14

4.  Reoperation for Pyriform Sinus Fistula in Pediatric Patients.

Authors:  Qingfeng Sheng; Zhibao Lv; Weijue Xu; Jiangbin Liu
Journal:  Front Pediatr       Date:  2020-04-03       Impact factor: 3.418

5.  Endoscopic coblation treatment for congenital pyriform sinus fistula in children.

Authors:  Wei Chen; Jiarui Chen; Fang Chen; Jiali Wu; Limin Zhao; Hongming Xu; Xiaoyan Li
Journal:  Medicine (Baltimore)       Date:  2021-05-14       Impact factor: 1.889

6.  Successful management of pyriform sinus cyst and fistula using endoscopic electrocauterization.

Authors:  Naonori Kawakubo; Satoshi Obata; Koichiro Yoshimaru; Kina Miyoshi; Tomoko Izaki; Tatsuro Tajiri
Journal:  DEN open       Date:  2022-05-15

7.  Microlaryngoscopic surgery for pyriform sinus fistulas in children: a report of two cases.

Authors:  Akiyoshi Nomura; Koji Fukumoto; Masaya Yamoto; Toshiaki Takahashi; Kengo Nakaya; Akinori Sekioka; Yutaka Yamada; Naoto Urushihara
Journal:  Surg Case Rep       Date:  2018-09-10

8.  Diagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children.

Authors:  Jing Bi; Xiaowei Chen; Zhiying Zhou; Bin Xu; Yong Fu
Journal:  Braz J Otorhinolaryngol       Date:  2020-01-25
  8 in total

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