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Congenital pyriform sinus fistula: A cause of acute left-sided suppurative throiditis and neck abscess in children

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Abstract

Acute bacterial thyroiditis or neck abscesses in children can be caused by infection through pyriform sinus fistulae which usually originate from the tip of the left pyriform sinus. They are thought to be remnants of either the third or fourth pharyngeal pouches. CT, ultrasound and gastrointestinal contrast studies are all useful in clarifying the pathological process and showing the extent.

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References

  1. Tucker HM, Skolnick ML (1983) Fourth branchial cleft remnant. Trans Am Acad Ophthalmol Otol 77: 368

    Google Scholar 

  2. Takai S, Miyauchi A, Matsuzuka F, Kuma K, Kosaki G (1979) Internal fistula as a route of infection in acute suppurative thyroiditis. Lancet I: 751

    Google Scholar 

  3. Miyauchi A, Matsuzuka F, Takai S, Kuma K, Kosaki G (1981) Pyriform sinus fistula: a route of infection in acute suppurative thyroiditis. Arch Surg 116: 66

    PubMed  Google Scholar 

  4. Abe K, Fujita H, Matsuura N (1981) A fistula from pyriform sinus in recurrent acute suppurative thyroiditis. Am J Dis Child 135: 178

    Google Scholar 

  5. Taylor WE, Mayer C, Hays LL, Cotton RT (1982) Acute suppurative thyroiditis in children. Laryngoscope 92: 1269

    PubMed  Google Scholar 

  6. Miller D, Hill JL, Sun CC, O'Brien DS, Haller JA (1983) The diagnosis and management of pyriform sinus fistulae in infants and young children. J Pediatr Surg 1821: 377

    Google Scholar 

  7. Hirata A, Saito S, Tsuchida Y, Hazama H, Iwanaka T, Shima K, Hori T (1984) Surgical management of pyriform sinus fistula. Am Surg 50: 454

    PubMed  Google Scholar 

  8. Tanyel FC, Cakmak O, Caglar M, Balkanci F (1986) Fourth pharyngeal pouch remnant presented as a neck mass. Z Kinderchir 41: 360

    PubMed  Google Scholar 

  9. Kartheuser A, Claus D, Gosseye S, Otte JB (1986) Les fistules de la 3e de la 4e fente branchiale. Chir Pediatr 27: 50

    PubMed  Google Scholar 

  10. DeLozier HL, Sofferman Ra (1986) Pyriform sinus fistula: an unusual cause of recurrent retropharyngeal abscess and cellulitis. Ann Otol Rhinol Laryngol 95: 377

    PubMed  Google Scholar 

  11. Makino S, Tsuchida Y, Yoshioka H, Saito S (1986) The endoscopic and surgical management of pyriform sinus fistulae in infants and children. J Pediatr Surg 121: 398

    Google Scholar 

  12. Manch Y, Morrisseau MP, Perrin A, Aboucaya JP, Roulleau P (1988) Le fond du sinus piriforme dans le traitement chirurgical des fistules de la quatrieme poche endobranchiale. Ann Oto-Laryng (Paris) 105: 189

    Google Scholar 

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Lucaya, J., Berdon, W.E., Enriquez, G. et al. Congenital pyriform sinus fistula: A cause of acute left-sided suppurative throiditis and neck abscess in children. Pediatr Radiol 21, 27–29 (1990). https://doi.org/10.1007/BF02010809

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  • DOI: https://doi.org/10.1007/BF02010809

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