Fourth Branchial Arch Anomaly and Pyriform Sinus Fistula as a Rare Cause of Recurrent Retropharyngeal Abscess and Thyroiditis in an Adult

Recurrent retropharyngeal abscess with recurrent thyroiditis is a very unusual clinical presentation in adults. Pyriform sinus fistula due to congenital fourth branchial arch anomaly may explain this presentation. In this paper, an adult with recurrent retropharyngeal abscess and thyroiditis due to...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2005-10, Vol.133 (4), p.644-644
Main Authors: Erisen, Levent, Coskun, Hakan, Parlak, Mufit, Ozmen, Adnan
Format: Article
Language:English
Subjects:
Adult
Branchial Region - abnormalities
Female
Humans
Nasopharyngeal Diseases - complications
Nasopharyngeal Diseases - congenital
Recurrence
Respiratory Tract Fistula - complications
Respiratory Tract Fistula - congenital
Retropharyngeal Abscess - etiology
Thyroiditis - etiology
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Summary:Recurrent retropharyngeal abscess with recurrent thyroiditis is a very unusual clinical presentation in adults. Pyriform sinus fistula due to congenital fourth branchial arch anomaly may explain this presentation. In this paper, an adult with recurrent retropharyngeal abscess and thyroiditis due to fourth branchial arch anomaly and pyriform sinus fistula was reported with special emphasis on diagnosis and treatment of this condition. A 28-year-old female patient was referred to our department with high fever, sore throat, dysphagia, odynophagia, dyspnea, and painful mass in the left neck lasting for 3 days. The patient stated that she had experienced 2 similar episodes, 1 month and 15 years ago respectively, and surgical drainage under general anesthesia was performed. She denied any foreign body ingestion. http://www.entnet.org/journal/casereports/OTO-15.pdf/
ISSN:0194-5998
1097-6817
DOI:10.1016/j.otohns.2004.09.118