A new role for computed tomography in the diagnosis and treatment of pyriform sinus fistula

Neck abscess located in or around the thyroid gland should raise the suspicion of acute suppurative thyroiditis, pyriform sinus fistula, a 3rd or 4th branchial cleft anomaly. Differentiating between these entities on a clinical basis is difficult. After treating the initial infection, computed tomog...

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Bibliographic Details
Published in:American journal of otolaryngology 2000-09, Vol.21 (5), p.323-325
Main Authors: Stone, Michael E., Link, Dana Thompson, Egelhoff, John C., Myer, Charles M.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Branchial Region - abnormalities
Branchial Region - diagnostic imaging
Child
Diagnosis, Differential
Female
Fistula - diagnostic imaging
Fistula - surgery
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Laryngoscopy
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Non tumoral diseases
Otorhinolaryngology. Stomatology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Thyroid Diseases - diagnostic imaging
Thyroid Diseases - surgery
Tomography, X-Ray Computed
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:Neck abscess located in or around the thyroid gland should raise the suspicion of acute suppurative thyroiditis, pyriform sinus fistula, a 3rd or 4th branchial cleft anomaly. Differentiating between these entities on a clinical basis is difficult. After treating the initial infection, computed tomography, barium esophagography, ultrasound, and endoscopy can be used in search of the fistulous tract that can be associated with a pyriform sinus fistula or a 3rd or 4th branchial anomaly. We present a case of a pyriform sinus fistula involving the use of oral contrast, combined with computed tomography, to delineate the tract and its surrounding structures. This method, in combination with endoscopy, aided in the removal of this branchial anomaly. (Am J Otolaryngol 2000;21:323-325. Copyright © 2000 by W.B. Saunders Company)
ISSN:0196-0709
1532-818X
DOI:10.1053/ajot.2000.16169