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Retrospective case review of pyriform sinus fistulae of third branchial arch origin commonly presenting as acute suppurative thyroiditis in children.
J Laryngol Otol. 2012 Jul; 126(7):737-42.JL

Abstract

OBJECTIVE

Abnormalities of the third branchial arch are less common than those of the second arch and usually present with left thyroid lobe inflammation. This paper describes 15 cases of pyriform sinus fistulae of third branchial arch origin usually presenting as recurrent thyroid abscess on the left side.

METHOD

A retrospective review of 15 cases of third arch fistulae managed 2000 and 2008, diagnosed based on histopathology and radiological evidence of a fistulous tract, and treated with fistulectomy with left hemithyroidectomy.

RESULTS

All patients (six boys and nine girls, aged three to 15 years) presented with recurrent low neck inflammation. Pre-operative ultrasound, computed tomography fistulography and barium swallow demonstrated a third arch fistulous tract, left-sided in all cases. The fistula was detected intra-operatively and pathologically in all cases. Surgery (successful in all cases) emphasised complete recurrent laryngeal nerve and ipsilateral pyriform sinus exposure, to facilitate tract excision, with left hemithyroidectomy. There was no recurrence over three to five years' follow up.

CONCLUSION

Paediatric recurrent low neck inflammatory episodes, due to thyroidal abscess, especially left-sided, should raise suspicion of pyriform sinus fistulae.

Authors+Show Affiliations

Department of Otolaryngology - Head & Neck Surgery, Darjeeling District Hospital, West Bengal, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22624855

Citation

Yolmo, D, et al. "Retrospective Case Review of Pyriform Sinus Fistulae of Third Branchial Arch Origin Commonly Presenting as Acute Suppurative Thyroiditis in Children." The Journal of Laryngology and Otology, vol. 126, no. 7, 2012, pp. 737-42.
Yolmo D, Madana J, Kalaiarasi R, et al. Retrospective case review of pyriform sinus fistulae of third branchial arch origin commonly presenting as acute suppurative thyroiditis in children. J Laryngol Otol. 2012;126(7):737-42.
Yolmo, D., Madana, J., Kalaiarasi, R., Gopalakrishnan, S., Kiruba Shankar, M., & Krishnapriya, S. (2012). Retrospective case review of pyriform sinus fistulae of third branchial arch origin commonly presenting as acute suppurative thyroiditis in children. The Journal of Laryngology and Otology, 126(7), 737-42. https://doi.org/10.1017/S0022215112000898
Yolmo D, et al. Retrospective Case Review of Pyriform Sinus Fistulae of Third Branchial Arch Origin Commonly Presenting as Acute Suppurative Thyroiditis in Children. J Laryngol Otol. 2012;126(7):737-42. PubMed PMID: 22624855.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Retrospective case review of pyriform sinus fistulae of third branchial arch origin commonly presenting as acute suppurative thyroiditis in children. AU - Yolmo,D, AU - Madana,J, AU - Kalaiarasi,R, AU - Gopalakrishnan,S, AU - Kiruba Shankar,M, AU - Krishnapriya,S, Y1 - 2012/05/25/ PY - 2012/5/26/entrez PY - 2012/5/26/pubmed PY - 2012/10/16/medline SP - 737 EP - 42 JF - The Journal of laryngology and otology JO - J Laryngol Otol VL - 126 IS - 7 N2 - OBJECTIVE: Abnormalities of the third branchial arch are less common than those of the second arch and usually present with left thyroid lobe inflammation. This paper describes 15 cases of pyriform sinus fistulae of third branchial arch origin usually presenting as recurrent thyroid abscess on the left side. METHOD: A retrospective review of 15 cases of third arch fistulae managed 2000 and 2008, diagnosed based on histopathology and radiological evidence of a fistulous tract, and treated with fistulectomy with left hemithyroidectomy. RESULTS: All patients (six boys and nine girls, aged three to 15 years) presented with recurrent low neck inflammation. Pre-operative ultrasound, computed tomography fistulography and barium swallow demonstrated a third arch fistulous tract, left-sided in all cases. The fistula was detected intra-operatively and pathologically in all cases. Surgery (successful in all cases) emphasised complete recurrent laryngeal nerve and ipsilateral pyriform sinus exposure, to facilitate tract excision, with left hemithyroidectomy. There was no recurrence over three to five years' follow up. CONCLUSION: Paediatric recurrent low neck inflammatory episodes, due to thyroidal abscess, especially left-sided, should raise suspicion of pyriform sinus fistulae. SN - 1748-5460 UR - https://www.unboundmedicine.com/medline/citation/22624855/Retrospective_case_review_of_pyriform_sinus_fistulae_of_third_branchial_arch_origin_commonly_presenting_as_acute_suppurative_thyroiditis_in_children_ L2 - https://www.cambridge.org/core/product/identifier/S0022215112000898/type/journal_article DB - PRIME DP - Unbound Medicine ER -