Recurrent suppurative thyroiditis due to pyriform sinus fistula: a case report

1995 ◽  
Vol 154 (8) ◽  
pp. 640-642 ◽  
Author(s):  
U. Schneider ◽  
R. Birnbacher ◽  
S. Schick ◽  
W. Ponhold ◽  
E. Schober
Keyword(s):  
Case Report ◽  
Pyriform Sinus ◽  
Suppurative Thyroiditis ◽  
Pyriform Sinus Fistula

scholarly journals Surgical approach and treatment for the orifice of a pyriform sinus fistula: a case report and literature review

2020 ◽  
Vol 2020 (6) ◽  
Author(s):  
Yukihiro Tatekawa
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Surgical Procedure ◽  
Guide Wire ◽  
Postoperative Recurrence ◽  
Pyriform Sinus ◽  
Fluoroscopic Guidance ◽  
Pyriform Sinus Fistula ◽  
Oral Side ◽  
Nylon Thread

Abstract A 4-year-old girl underwent an open-neck surgical procedure for a recurrent pyriform sinus fistula (PSF). A catheter could not be inserted through the endoscope into the opening of the fistula. An open-neck surgical procedure with coring out of the fistula stained with a dye revealed that the fistula was missed near the upper lobe of the left thyroid. A guide wire was successfully inserted via the endoscope into the fistula, and the wire was gripped with forceps under fluoroscopic guidance and removed. As a modification of the surgical approach and treatment for the orifice of the PSF, a catheter was exchanged through the guide wire, and a nylon thread was passed into the catheter. The tip of the nylon thread from the oral side was fastened and fixed to a gauze ball. After removing the nylon thread, the orifice of the sinus fistula was recognized and sutured. She was discharged uneventfully and has done well without a postoperative recurrence for 12 months.

scholarly journals A case report of pyriform sinus fistula that was surgically removed using an ATOM tube®-guided curved laryngoscope blade

2017 ◽  
Vol 27 (2) ◽  
pp. 231-234
Author(s):  
Naohiro Takeshita ◽  
Toshihito Suda ◽  
Yukio Nishiya ◽  
Hisashi Kessoku ◽  
Takanori Hama ◽  
...  
Keyword(s):  
Case Report ◽  
Pyriform Sinus ◽  
Laryngoscope Blade ◽  
Pyriform Sinus Fistula

scholarly journals Outcomes of endoscopic chemo- and laser-cauterizations and open fistulectomy for pyriform sinus fistula

2021 ◽  
Vol 50 (1) ◽  
Author(s):  
Hiroo Masuoka ◽  
Akira Miyauchi ◽  
Takahiro Sasaki ◽  
Tsutomu Sano ◽  
Akihiro Miya
Keyword(s):  
Mouth Opening ◽  
Pyriform Sinus ◽  
Barium Swallow ◽  
Success Rates ◽  
Suppurative Thyroiditis ◽  
Endoscopic Procedures ◽  
Pyriform Sinus Fistula ◽  
Lower Blood ◽  
Acute Suppurative Thyroiditis ◽  
The Individual

Abstract Background Acute suppurative thyroiditis through the congenital pyriform sinus fistula (PSF) often recurs if the fistula is not resected. Although endoscopic chemo-cauterization (ECC) to obliterate the orifice of the fistula is less invasive than open fistulectomy, it may require repeated treatments. We recently adopted an endoscopic diode laser-cauterization (ELC) system with the intention of improving treatment outcomes in PSF. Here, we describe ELC and compare the outcomes of these three modalities. Methods We evaluated 83 patients with PSF who underwent treatment between 2007 and 2018 at Kuma Hospital, a tertiary thyroid treatment hospital. ECC and ELC were implemented in 2007 and 2015, respectively. Patients who were ineligible for the endoscopic procedures underwent open fistulectomy. Barium swallow studies and computed tomography scan under a trumpet maneuver were performed after treatment to evaluate obliteration or removal of the fistula. Results In total, 70 of the 81 (86%) patients who underwent barium swallow studies after the first treatment achieved obliteration or removal of the fistula. The success rates for open fistulectomy, ECC, and ELC were 100% (9/9), 83% (49/59), and 100% (13/13), respectively. ECC and ELC had significantly shorter operative times and lower blood loss than open fistulectomy. Insufficient opening of the mouth was the major reason for converting endoscopic procedures to open fistulectomy. Conclusions ELC may yield superior outcomes and is therefore the optimal treatment modality for PSF. However, it is still associated with certain limitations. Thus, treatment selection remains dependent on the shape and size of the PSF and the mouth opening of the individual patient.

Case Report of Right-sided Pyriform Sinus Fistula

2014 ◽  
Vol 65 (6) ◽  
pp. 481-484
Author(s):  
Kazuhiro Hirasawa ◽  
Kiyoaki Tsukahara ◽  
Kazuhiro Nakamura ◽  
Ray Motohashi ◽  
Yuri Ueda ◽  
...  
Keyword(s):  
Case Report ◽  
Pyriform Sinus ◽  
Pyriform Sinus Fistula

scholarly journals Complete Pyriform Sinus Fistulas: Case Series and Review of Literature

2011 ◽  
Vol 2 (3) ◽  
pp. 134-137
Author(s):  
Sandeep Bansal ◽  
Abhishek Jaswal
Keyword(s):  
Case Series ◽  
Pyriform Sinus ◽  
Suppurative Thyroiditis ◽  
Upper Respiratory Infection ◽  
Pyriform Sinus Fistula ◽  
Fourth Arch ◽  
Acute Suppurative Thyroiditis ◽  
Neonates And Infants ◽  
Painful Neck ◽  
Branchial Anomalies

ABSTRACT Pyriform sinus fistula belongs to the rarest group of cervical fistulae accounting for 3 to 10% of all branchial anomalies.1 The first clinical and embryological studies were described in the early seventies by Sandborn and Tucker, but embryological knowledge in this field remains incomplete. Children and adults usually complaint of painful neck swelling accompanied by fever that is preceded by upper respiratory infection, otalgia and odynophagia. Neonates and infants may have respiratory distress, sometimes with stridor, due to tracheal compression by the abscess.1,5,6 However, the most common mode of presentation is the recurrent episodes of acute thyroiditis. Eighty percent of patients with recurrent acute suppurative thyroiditis due to persistent pyriform sinus fistula present during the first decade of life. Making the distinction between third and fourth arch fistulas is difficult on clinical grounds alone and hence they are often collectively termed pyriform sinus fistula. Owing to the rarity of the condition and varied clinical presentation, diagnosis and ultimate management is often delayed leading to undue morbidity to the patient and professional frustration for the treating surgeon. We, hereby, present a case series of three classical cases of complete pyriform sinus fistulas with review of available literature in an attempt to clarify issues regarding presentation, diagnosis and management of this condition.

scholarly journals Refractory acute suppurative thyroiditis secondary to pyriform sinus fistula

2014 ◽  
Vol 19 (2) ◽  
pp. 104 ◽  
Author(s):  
Jee Hyue Seo ◽  
Yong Hoon Park ◽  
Sei Won Yang ◽  
Hyun Young Kim
Keyword(s):  
Pyriform Sinus ◽  
Suppurative Thyroiditis ◽  
Pyriform Sinus Fistula ◽  
Acute Suppurative Thyroiditis
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