Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (2): 39-45.doi: 10.6040/j.issn.1673-3770.1.2020.092

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Clinical analysis of 216 cases of congenital pyriform sinus fistula treated by radiofrequency ablation

DOU Qianwen, TIAN Xiufen   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China
  • Published:2021-04-20

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Abstract: Objective Congenital pyriform sinus fistula(CPSF)is a rare parotid source disease. It is easily misdiagnosed as a simple abscess in the neck in clinical practice. In the past, neck fistulectomy was usually the treatment of choice; however, it was traumatic, and the fistula could not be eliminated completely, thus leading to recurrence. Our study aimed to investigate congenital pyriform sinus fistula and evaluate the therapeutic effect of radiofrequency ablation in the treatment of congenital pyriform sinus fistula. Methods The data of 216 patients with congenital pyriform sinus fistula treated by radiofrequency ablation between March 2013 and May 2019 were collected and analyzed retrospectively. Results Among the 216 patients, the ratio of males to females was approximately 1.18∶1, and 90.7% of the cases were left-sided, 8.3% were right-sided, and only 1.0% were bilateral. The age range of the patients was 23-66 years. Eight patients were lost to follow-up, with an average follow-up of 15 months. Among 208 patients after coblation, 17 cases(8.2%)had postoperative hoarseness, 12 cases(5.8%)had recurrence, and there was no infection, irritating cough, or esophageal injury. Conclusion Radiofrequency ablation is the first choice for the treatment of congenital pyriform sinus fistula.

Key words: Pyriform sinus fistula, Branchial fissure deformity, Radiofrequency ablation, Plasma, Neck mass, Acute suppurative thyroiditis

CLC Number: 

  • R726.5
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