Clinical and microbiological differences between pyriform sinus fistulae in pediatric and non-pediatric patients

Ahn, Dongbin; Sohn, Jin Ho; Kim, Heejin; Yeo, Chang Ki

doi:10.1016/j.anl.2014.06.003

Cited by 17 publications

(18 citation statements)

References 15 publications

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“…Estos pueden ser de amplio espectro, o enfocados a los agentes más frecuentes, que pueden variar según la población. Ahn et al 2 demostraron, en una población coreana, que las bacterias más frecuentes en los cultivos de niños eran estreptococos grampositivos, en cambio, en los adultos era una bacteria gramnegativa, Klebsiella pneumoniae.…”

Section: Discussionunclassified

Fístulas del seno piriforme congénitas. Reporte de 4 casos y revisión de la literatura

et al. 2018

Rev Chil Cir

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Introduction:Pyriform sinus fistula is a rare cervical branchial anomaly derived from the third and fourth branchial arch. Pyriform sinus fistula should be considered in children presenting enlarged neck mass, fistula, abscess, thyroid infection and/or dysphonia. Objective: We here report 4 cases treated in Hospital Clí-nico Universidad de Chile and review of the current literature on pyriform sinus fistula. Discussion: When clinical presentation is compatible with pyriform sinus fistula, endoscopic and imaging techniques are required. Surgical outcomes are better, although endoscopic therapies and combination of both surgery and endoscopy have also reported good outcomes. Conclusion: Diagnosis is made based on signs and symptoms and a high index of clinical suspicion. Open surgery is gold standard, however in pediatric population endoscopic resolution should be considered to reduce the high morbidity of traditional surgery.

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Section: Discussionunclassified

Fístulas del seno piriforme congénitas. Reporte de 4 casos y revisión de la literatura

et al. 2018

Rev Chil Cir

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“…La alteración en el desarrollo embrionario se puede traducir en un quiste, seno o fístula branquial, dependiendo del tipo de falla en la obliteración de este. Al ser una malformación congénita, su diagnóstico generalmente es en niños, pero al tratarse de una entidad de baja fre-cuencia, y que además puede mantenerse asintomática por largo tiempo, es por lo que su diagnóstico se realiza en adultos hasta en la mitad de los casos 2 . Para esto se requiere de una alta sospecha clínica.…”

Section: Introductionunclassified

Fístulas del seno piriforme congénitas. Reporte de 4 casos y revisión de la literatura

Rappoport

Jentschyk

Gac

et al. 2017

Revista Chilena de Cirugía

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Congenital pyriform sinus fistula. Report of 4 cases and review of the literature Introduction: Pyriform sinus fistula is a rare cervical branchial anomaly derived from the third and fourth branchial arch. Pyriform sinus fistula should be considered in children presenting enlarged neck mass, fistula, abscess, thyroid infection and/or dysphonia. Objective: We here report 4 cases treated in Hospital Clínico Universidad de Chile and review of the current literature on pyriform sinus fistula. Discussion: When clinical presentation is compatible with pyriform sinus fistula, endoscopic and imaging techniques are required. Surgical outcomes are better, although endoscopic therapies and combination of both surgery and endoscopy have also reported good outcomes. Conclusion: Diagnosis is made based on signs and symptoms and a high index of clinical suspicion. Open surgery is gold standard, however in pediatric population endoscopic resolution should be considered to reduce the high morbidity of traditional surgery.

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confidence: 99%

“…Pyriform sinus fistula represents an anomaly of the opening of the third and fourth branchial pouches in the pyriform sinus . PSF is often found in association with suppurative thyroiditis, recurrent neck abscess, odynophagia, and, occasionally, dyspnea . One report indicated that Streptococcus mitis was most commonly associated with PSF in pediatric patients, whereas Klebsiella pneumoniae was most commonly associated with PSF in non‐pediatric patients .…”

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confidence: 99%

“…PSF is often found in association with suppurative thyroiditis, recurrent neck abscess, odynophagia, and, occasionally, dyspnea . One report indicated that Streptococcus mitis was most commonly associated with PSF in pediatric patients, whereas Klebsiella pneumoniae was most commonly associated with PSF in non‐pediatric patients . Actinomyces infection as the cause of PSF in the present patient was atypical.…”

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confidence: 99%

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Asymptomatic subcutaneous cervical mass due to Actinomyces odontolyticus infection in a pyriform sinus fistula

Yanagisawa

Minami

Kubota

et al. 2017

Pediatrics International

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Clinical and microbiological differences between pyriform sinus fistulae in pediatric and non-pediatric patients

Cited by 17 publications

References 15 publications

Fístulas del seno piriforme congénitas. Reporte de 4 casos y revisión de la literatura

Fístulas del seno piriforme congénitas. Reporte de 4 casos y revisión de la literatura

Fístulas del seno piriforme congénitas. Reporte de 4 casos y revisión de la literatura

Asymptomatic subcutaneous cervical mass due to Actinomyces odontolyticus infection in a pyriform sinus fistula

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