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Recurrent Cervical Abscess Due to Pyriform Sinus Fistula-A Case Report

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Abstract

The pyriform sinus fistula is rare congenital anomaly of either third or fourth branchial pouch, which most frequently presented itself by recurrent episodes of neck abscess for long time. Majority of patients with this anomaly presented with symptoms before 10 years and it is more common than has previously been commonly found on leftside (93%). Clinically high index of suspicion, cannulation of the tract under general anaesthesia, Direct laryngoscopy and fistulogram have freequently been successful in identifying the presence of these embryological remnants. Surgical exploration of sinus tract with its total excision, guided with cannula inside its lumen is the definitive treatment.

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References

  1. Delozier, H.L., Sofferman, R.A. (1986): Pyriform sinus fistula: An unusual cause of recurrent retropharyngeal abscess and cellutitis. Annuals of otorhinolaryngology 95: 377–382.

    CAS  Google Scholar 

  2. Hiroshi Yamashita, Takkaki Noguchi, Mesahiro Takahashi (1995): Recurrent Cervical abscess and pyriform sinus fistula Journals of laryngology and otology Vol. 109.

  3. Michaqel S. Godin, Donald B. Kearns, Seth M. Pransky (1990): Fourth Branchial Pouch Sinus Principles of Diagnosis and Management: Laryngoscope 100.

  4. Miller, D., Hill, J.L., Chen-chin, S, et al (1983): The Diagnosis and management of pyriform sinus fistula in infants and young children. Journal of pediatric surgery 18 (4): 337–381.

    Google Scholar 

  5. Miyauchi A., Matsuzuka, F. Takai, Kimura, K. Kosaki: Pyriform sinus fistula: A route of infection in acute suppurative thyroiditis. Archives of Surgery 116: 66–69.

  6. Nancy, P., Aumont-Grasskopf, C, Bobin, S., et al (1988): Fistulae of the fourth endobranchial fistula. Int. J. Pediatric Otorhinolaryngol. 16: 157–165.

    Google Scholar 

  7. Tovi, F, Gotol, A., Bar-Zir, J, et al: (1985) Recurrent Suppurative thyroiditis due to fourth branchial pouch sinus. Int. J. Pediatric Otorhinolaryngol, 9 (1): 89–96.

    Article  CAS  Google Scholar 

  8. Tucker H.M. & Skolnick M. L. (1973): Fourth branchial cleft remnant, Trans., Pa Am Acad Ophthalmo. Otolaryngol, 77: 368–371.

    Google Scholar 

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Prajapaty, B., Shah, B. Recurrent Cervical Abscess Due to Pyriform Sinus Fistula-A Case Report. IJO & HNS 49, 391–393 (1997). https://doi.org/10.1007/BF02994659

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