Objective: To study the early diagnosis, treatment and Prognosis of pyriform sinus perforation.
Methods: To study the clinical feature about 15 cases of pyriform sinus perforation, Most of the 15 cases with pyriform sinus perforation were associated with pharyngeal pain or fever. contrast x-ray studies and CT scan were used to confirm the perforation. conservative treatment in 9 cases and surgical intervention in 6 cases. and review relevant literature.
Results: Of all 15 cases, 9 cases with wild symptoms for conservative treatment, 6 cases with severe symptoms and complications were treated surgically. All achieved better clinical efficacy, By relevant examination, the perforation were healed within 2 - 4 weeks and none had re-perforation for 1 - 30 months follow-up.
Conclusions: Pyriform sinus perforation with wild symptoms and within 12 hours can be treated conservatively. Large perforation (> 2 cm) last more than 12 hours or any complications require exploration, operation repair if possible and adequate drainage. early diagnosis and effective treatment can reduce the incidence of complications and improve the survival rate of patients.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Acute suppurative thyroiditis in a child secondary to pyriform sinus fistula: From single case to systematic review.
Int J Pediatr Otorhinolaryngol
December 2024
Department of Clinical and Experimental Medicine, Section of Pediatrics and Child Neuropsychiatry, Hospital "Policlinico G. Rodolico", Catania, Italy. Electronic address:
Acute suppurative thyroiditis (AST), a rare yet potentially life-threatening infection, comprises less than 1 % of neck pathologies and requires prompt treatment. Symptoms range from neck pain and fever to dysphagia and possible abscess formation. Broad-spectrum antibiotics are the primary treatment; however, surgical drainage may be necessary for abscesses to prevent systemic infection.
View Article and Find Full Text PDFApplication of pedicled supraclavicular flaps in hypopharyngectomy with preservation of laryngeal function.
BMC Surg
December 2024
Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Southwest Medical University, No.25, Taiping Street, Jiangyang District, Luzhou, 646000, China.
Objective: To evaluate the efficacy of pedicled supraclavicular flaps in hypopharyngectomy reconstruction, with a focus on preserving laryngeal function.
Methods: From August 2019 to June 2022, 14 patients with primary hypopharyngeal carcinoma who met the inclusion and exclusion criteria and underwent the repair of hypopharyngeal defects using pedicled supraclavicular flaps were included retrospectively. Relevant clinical evaluation indicators include patient characteristics, defect sizes, flap sizes, flap harvesting time, postoperative hospital stay, postoperative complications, recurrence, and survival outcomes.
Cranial Nerve Deficits Predict Pharyngeal Phase Swallowing Impairment in Patients with Neurogenic Dysphagia: A Cross-Sectional Study.
Dysphagia
December 2024
Department of Biomedical, Surgical and Dental Sciences, University "La Statale", Via Della Commenda, 10, 20122, Milan, Italy.
Article Synopsis
- The study investigates how the examination of cranial nerves (CN) can help analyze swallowing efficiency by assessing facial-oral integrity in patients with neurogenic dysphagia.
- A total of 96 dysphagic patients were evaluated through the Yale Pharyngeal Residue Severity Rating Scale and the Penetration-Aspiration Scale during a Fiberoptic Endoscopic Evaluation of Swallowing.
- Results showed that specific CN impairments could predict different types of pharyngeal residue, aiding clinicians in understanding swallowing issues and planning targeted interventions effectively.
An effective surgery to reduce the recurrence rate of pyriform sinus fistula: Importance of nurse cooperation.
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:
Correlation between pharyngeal residue and penetration/aspiration in post-stroke individuals.
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.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!