[Clinical analysis of treatment and postoperative efficacy in neonatal congenital pyriform sinus fistula]

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 May;35(5):444-448. doi: 10.13201/j.issn.2096-7993.2021.05.014.
[Article in Chinese]

Abstract
in English, Chinese

Objective:To discuss the diagnosis and treatment of congenital pyriform sinus fistula（CPSF） in newborn. Methods:Clinical data of 5 patients with CPSF innewborn were reviewed and the clinical symptoms, auxiliary examinations, surgical methods were analyzed after the operation, patients were followed up closely at different stages. Results:All the 5 neonates successfully completed the surgery without pharyngeal fistula, dysphagia, perifistula and distal fistula infection. Follow-up survey ranged from 3 months to 2 years and no one recurred. Conclusion:Neonatal CPSF is a rare disease with a short course of disease and rapid progression. In severe cases, it may threaten life and should be treated in time.

目的：探讨新生儿先天性梨状窝瘘（CPSF）的诊断与治疗方法。 方法：回顾性分析5例新生儿CPSF手术治疗的临床资料，分析患儿的临床症状、辅助检查、手术方式，术后进行阶段性随访。 结果：5例患儿均已明确诊断并顺利完成手术，术后无咽瘘、吞咽困难、内瘘口周围及瘘管远端感染。所有患儿术后随访3个月～2年，无一例复发。 结论：新生儿CPSF较为罕见，病程短，病情进展快，严重时可危及生命，需及时处理。.

Keywords: neonate; pyriform sinus fistula; surgical procedures, operative.

MeSH terms

  • Fistula* / surgery
  • Humans
  • Infant, Newborn
  • Pharyngeal Diseases*
  • Postoperative Period
  • Pyriform Sinus* / surgery
  • Recurrence
  • Retrospective Studies

Grants and funding

福建省卫生教育联合攻关计划项目(No：2019-WJ-33)