A NEW OPERATIONAL APPROACH FOR THE PIRIFORM SINUS FISTULA

被引：11

作者：

HASHIZUME, K

KAWARASAKI, H

IWANAKA, T

KANAMORI, Y

TANAKA, K

UTSUKI, T

KOMURO, H

UNO, K

机构：

[1] The Department of Pediatric Surgery, University of Tokyo Hospital, Tokyo, 113, 7-3-1 Hongo, Bunkyo-ku

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1993年 / 23卷 / 04期

关键词：

PIRIFORM SINUS FISTULA; NECK ABSCESS; ENDOSCOPY;

D O I：

10.1007/BF00309045

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

It has been well documented that piriform sinus fistulae often cause suppurative thyroditis; however, when a piriform sinus fistula does not present this symptom, making a correct diagnosis is very difficult. We have experienced 11 cases of a piriform sinus fistula. The conventional operational approach was performed in the initial eight patients, among which there were four recurrences in two patients. Therefore, a new operational approach was introduced for the three most recent cases and one recurrent case. First, the existence of the internal orifice of the fistula is confirmed with a laryngoscope, after which a transverse incision on the neck is made and the abscess dissected. The side wall of the piriform sinus is then opened with the help of a laryngoscope and the bottom part of the mucosa of the sinus transected with the internal orifice of the fistula, after which the fistula is removed en bloc with the bottom part of the sinus and abscess cavity. Using this operation, we experienced no complications and there has been no recurrence so far.

引用

页码：293 / 297

页数：5

共 21 条

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