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Right-Sided Pyriform Sinus Fistula : A Case Report and Review of the Literature
Joint Authors
Brundage, William J.
Cain, Rachel B.
Kasznica, Peter
Source
Case Reports in Otolaryngology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-01-22
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Objectives.
Pyriform sinus fistulae arise from disturbances in the development of the fetal third and fourth branchial pouches and are predominantly found on the left side.
We report the rare case of a right-sided pyriform sinus fistula presenting as a lateral neck abscess.
Study Design.
Case report.
Methods.
A 24-year-old woman presented with a two-week history of right-sided neck abscess.
A fluoroscopic sinogram revealed a fistulous tract extending from the abscess to the apex of the right pyriform sinus.
It was determined that the fistula was likely a third or fourth branchial remnant, a rare right-sided finding.
Chemocauterization of the fistulous tract with 40% trichloroacetic acid was used to successfully treat the patient.
Results.
Approximately 93–97% of branchial pouch anomalies are left sided.
Treatment options include surgical excision and cauterization.
Conclusions.
Branchial cleft cyst and pyriform sinus fistula must be considered in the diagnosis of cervical abscess in either side of the neck.
American Psychological Association (APA)
Cain, Rachel B.& Kasznica, Peter& Brundage, William J.. 2012. Right-Sided Pyriform Sinus Fistula : A Case Report and Review of the Literature. Case Reports in Otolaryngology،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-509438
Modern Language Association (MLA)
Cain, Rachel B.…[et al.]. Right-Sided Pyriform Sinus Fistula : A Case Report and Review of the Literature. Case Reports in Otolaryngology No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-509438
American Medical Association (AMA)
Cain, Rachel B.& Kasznica, Peter& Brundage, William J.. Right-Sided Pyriform Sinus Fistula : A Case Report and Review of the Literature. Case Reports in Otolaryngology. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-509438
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-509438