Diagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children

ConclusionCongenital piriform sinus fistula is an important cause of deep neck abscess in children. The presence of purulent gas-liquid equilibrium or air shadow in cervical-enhanced computed tomography or ultrasound suggests a high possibility of the presence of an internal fistula, and endoscopic low temperature ablation can be done at the same time as the diagnostic endoscopy.ResumoIntroduçãoA fístula congênita do seio piriforme é uma doença relativamente rara na prática clínica; a maioria se manifesta na infância; entretanto, os médicos geralmente têm conhecimento insuficiente sobre essa condição clínica, e seu diagnóstico é facilmente realizado de forma errônea..ObjetivosEste estudo teve como objetivo identificar as características do abscesso cervical profundo devido à fístula congênita de seio piriforme em crianças.MétodoRealizamos um estudo retrospectivo de 21 casos de janeiro de 2016 a agosto de 2018 em nosso hospital. A idade de início, características clínicas, exames auxiliares e tratamento clínico dos pacientes foram resumidos para analisar o diagnóstico, as características do tratamento e o prognóstico.ResultadosForam incluídas crianças de 11 dias a 12 anos, com média de idade de 3,5 anos. Vinte pacientes tinham fístula congêni...
Source: Brazilian Journal of Otorhinolaryngology - Category: ENT & OMF Source Type: research

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