Objective: To explore the clinical presentation and management principles of congenital pyriform sinus fistula.
Methods: Seven sequential cases of congenital pyriform sinus fistula (CPSF) treated between January 2007 and January 2011 were reported. The clinical presentation were recurrent left lower neck abscess or acute suppurative thyroiditis. All of these patients had past histories of misdiagnosis ranged from 3 years to 11 years. All the patients had undergone incision and drainage several times. In acute infection period, these patients received incision and drainage, after inflammation subsided, were treated with definitive surgery.
Results: After barium swallow study and CT examination in the quiescent stage of infection, 5 patients could be seen fistula in the pyriform, all the patients were found scar tissue near the left thyroid lobe, 4 patients received direct laryngoscope examination and 3 of them could be found inner orifice near the apex of pyriform sinus, fistula and the involved lobe of thyroid were successfully excised without permanent recurrent laryngeal nerve injury or hypothyroidism. All the patients had an uneventful recovery and remained symptom free from 5 months to 40 months.
Conclusions: The clinical history of recurrent low neck inflammatory episodes in patients, especially on the left side, should raise the suspicion of CPSF, investigation using barium swallow in combination with CT scanning is useful. CPSF can be treated by excising the fistula and involved lobe of thyroid.
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Dysphagia
December 2024
Department of Biomedical, Surgical and Dental Sciences, University "La Statale", Via Della Commenda, 10, 20122, Milan, Italy.
Asian J Surg
November 2024
Department of the First Operating Room, Shandong Second Provincial General Hospital, Huaiyin District, Jinan City, Shandong Province, China. Electronic address:
Eur Arch Otorhinolaryngol
November 2024
Dysphagia Lab, Speech, Language and Hearing Sciences Department, São Paulo State University-UNESP, Campus de Marília, Av. Hygino Muzzi Filho, 737-Mirante, Marília, SP, CEP 17.525-900, Brazil.
Purpose: To analyze the correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.
Methods: Cross-sectional, descriptive, retrospective, clinical study with 157 post-stroke individuals, 71 females and 86 males, aged 26 to 92 years (mean age: 67.2 years), all diagnosed by neurological assessment and imaging exams (computed tomography or magnetic resonance imaging), who underwent fiberoptic endoscopic evaluation of swallowing (FEES) in a rehabilitation center.
Dysphagia
November 2024
Faculty of Medicine, Department of Internal Medicine, Post graduate Program in Internal Medicine, Federal University of Rio de Janeiro - UFRJ, Rio de Janeiro, Rua Professor Rodolpho Paulo Rocco, 255, 9º andar, sala 9E11, Ilha do Fundão CEP, Rio de Janeiro, RJ, 21941-590, Brazil.
Introduction: Obstructive sleep apnea (OSA) is closely associated with resistant hypertension (RHTN). Individuals with OSA may have sensory and muscular alterations in pharyngolaryngeal structures, potentially resulting in oropharyngeal dysphagia.
Objective: One objective of this study was to assess and compare the quality of life (QoL) and swallowing ability of resistant hypertensive patients with and without OSA.
PLoS One
October 2024
Department of Anesthesiology, Chi Mei Medical Center, Liouying, Tainan City, Taiwan.
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