以左侧颈部感染为表现的右侧梨状窝瘘1例

李艳珍; 邰隽; 王生才; 张雪溪; 张杰; 倪鑫

doi:10.13201/j.issn.2096-7993.2021.06.016

以左侧颈部感染为表现的右侧梨状窝瘘1例

- 1.
  国家儿童医学中心(北京) 首都医科大学附属北京儿童医院耳鼻咽喉头颈外科儿童耳鼻咽喉头颈外科疾病北京市重点实验室(北京，100045)
- 2.
  首都儿科研究所附属儿童医院耳鼻咽喉头颈外科
基金项目:
北京市医院管理中心“登峰”人才培养计划(No：DFL20191201)

详细信息

通讯作者: 倪鑫，E-mail：nixin@bch.com.cn

中图分类号: R726.53

收稿日期: 2020-02-25

修回日期: 2021-03-02

刊出日期: 2021-06-05

Right pyriform sinus fistula with infection of left neck: a case report

More Information

Corresponding author: Ni Xin, E-mail: nixin@bch.com.cn

Received Date: 25 February 2020

Revised Date: 02 March 2021

Publish Date: 05 June 2021

摘要

- 先天畸形 /
- 梨状窝瘘 /
- 外科手术
Abstract: In this article, a case of right pyriform fossa fistula, with left cervical infection as the main manifestation is reported.Ultrasound showed that there was an inhomogeneous echo mass in the dorsal side of the left lobe of thyroid.MRI showed that there were infectious signal behind the bilateral thyroid gland, but mainly on the left side.Fistula was found in the right pyriform fossa under suspension laryngoscope, and CO₂ laser cauterization was performed to cauterize this fistula.
- congenital abnormalities /
- pyriform sinus fistula /
- surgical procedures, operative

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图 1 颈部核磁共振提示双侧甲状腺后缘见小片状长T1长T2信号

下载: 全尺寸图片幻灯片

图 2 术中见右侧梨状窝瘘口

下载: 全尺寸图片幻灯片

参考文献(11)

[1]	马静, 明澄, 娄凡, 等. 儿童先天性梨状窝瘘的误诊原因分析及治疗方法探讨[J]. 中华耳鼻咽喉头颈外科杂志, 2018, 53(5): 381-384. doi: 10.3760/cma.j.issn.1673-0860.2018.05.010
[2]	Cain RB, Kasznica P, Brundage WJ. Right-sided pyriform sinus fistula: a case report and review of the literature[J]. Case Rep Otolaryngol, 2012, 2012: 934968.
[3]	Thomas B, Shroff M, Forte V, et al. Revisiting imaging features and the embryologic basis of third and fourth branchial anomalies[J]. AJNR Am J Neuroradiol, 2010, 31(4): 755-760. doi: 10.3174/ajnr.A1902
[4]	Xiao X, Zheng S, Zheng J, et al. Endoscopic-assisted surgery for pyriform sinus fistula in children: experience of 165 cases from a single institution[J]. J Pediatr Surg, 2014, 49(4): 618-621. doi: 10.1016/j.jpedsurg.2013.11.004
[5]	Wang S, He Y, Zhang Y, et al. CO₂ laser cauterization approach to congenital pyriform sinus fistula[J]. J Pediatr Surg, 2018, 53(7): 1313-1317. doi: 10.1016/j.jpedsurg.2017.06.020
[6]	Thomas B, Shroff M, Forte V, et al. Revisiting imaging features and the embryologic basis of third and fourth branchial anomalies[J]. AJNR Am J Neuroradiol, 2010, 31(4): 755-760. doi: 10.3174/ajnr.A1902
[7]	Liu Z, Tang SS. Diagnosis of pyriform sinus fistula in children via ultrasonography[J]. Am J Otolaryngol, 2013, 34(5): 579-581. doi: 10.1016/j.amjoto.2013.01.010
[8]	Sakakura K, Yasuoka Y, Shino M, et al. Two Different Tracts and Origin of Pyriform Sinus Fistula[J]. Ann Otol Rhinol Laryngol, 2020: 3489420966348.
[9]	中国妇幼保健学会微创分会儿童耳鼻咽喉学组. 儿童先天性梨状窝瘘诊断与治疗临床实践指南[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(12): 1060-1064. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH202012002.htm
[10]	宫喜翔, 许咪咪, 陈良嗣, 等. 内镜CO₂激光烧灼先天性梨状窝瘘内瘘口闭合后复发一例[J]. 中华耳鼻咽喉头颈外科杂志, 2018, 53(1): 61-63.
[11]	Lin CY, Hsiao TY, Hsu WC. Pathognomonic ultrasonic images of congenital pyriform sinus fistula in Children[J]. Clin Otolaryngol, 2021, 46(1): 110-115. doi: 10.1111/coa.13642