Endoscopic chemical cautery of piriform sinus tracts: A safe new technique

Summary Piriform sinus tracts are thought to be of branchial origin and typically present with suppurative thyroiditis or a lateral neck mass. Endoscopic examination with direct visualization of the internal opening usually confirms the diagnosis. Complex external surgery with complete excision of t...

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Bibliographic Details
Published inInternational journal of pediatric otorhinolaryngology Vol. 72; no. 2; pp. 185 - 188
Main Authors Pereira, Kevin D, Smith, Stacey L
Format Journal Article
LanguageEnglish
Published Ireland Elsevier Ireland Ltd 01.02.2008
Subjects
Abscess - etiology
Abscess - surgery
Adolescent
Anti-Infective Agents, Local - administration & dosage
Branchial pouch
Branchial Region - abnormalities
Branchial Region - surgery
Cautery
Cautery - methods
Child, Preschool
Endoscopy
Humans
Male
Otolaryngology
Pediatrics
Piriform sinus
Silver Nitrate - administration & dosage
Sinus tract
Video-Assisted Surgery
Cautery
Piriform sinus
Branchial pouch
Sinus tract
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Summary:Summary Piriform sinus tracts are thought to be of branchial origin and typically present with suppurative thyroiditis or a lateral neck mass. Endoscopic examination with direct visualization of the internal opening usually confirms the diagnosis. Complex external surgery with complete excision of the tract is the current standard of care. We report two cases of piriform sinus tracts which were managed with silver nitrate cautery of the internal opening. Post-operative closure of the opening was confirmed in one patient. This appears to be a safe and effective technique that eliminates the need for surgery and has not been previously reported.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2007.10.007