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Successful management of pyriform sinus cyst and fistula using endoscopic electrocauterization

OBJECTIVES: Pyriform sinus cyst (PSC) and pyriform sinus fistula (PSF) is a rare congenital malformation that arises from the third or fourth branchial structure. In our study, we describe the safety and the utility of endoscopic electrocauterization against PSC/PSF. METHODS: We retrospectively revi...

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Autores principales: Kawakubo, Naonori, Obata, Satoshi, Yoshimaru, Koichiro, Miyoshi, Kina, Izaki, Tomoko, Tajiri, Tatsuro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9307728/
https://www.ncbi.nlm.nih.gov/pubmed/35898836
http://dx.doi.org/10.1002/deo2.128
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author Kawakubo, Naonori
Obata, Satoshi
Yoshimaru, Koichiro
Miyoshi, Kina
Izaki, Tomoko
Tajiri, Tatsuro
author_facet Kawakubo, Naonori
Obata, Satoshi
Yoshimaru, Koichiro
Miyoshi, Kina
Izaki, Tomoko
Tajiri, Tatsuro
author_sort Kawakubo, Naonori
collection PubMed
description OBJECTIVES: Pyriform sinus cyst (PSC) and pyriform sinus fistula (PSF) is a rare congenital malformation that arises from the third or fourth branchial structure. In our study, we describe the safety and the utility of endoscopic electrocauterization against PSC/PSF. METHODS: We retrospectively reviewed the records of patients who underwent endoscopic electrocauterization for PSC/PSF at our hospital. The internal opening of the fistula was identified under general anesthesia using a flexible endoscope (XQ‐260 or H‐290; Olympus, Tokyo, Japan), and the DualKnifeJ (KD‐655L; Olympus) was used to ablate the internal opening. RESULTS: We experienced three PSF and three PSC patients. The postoperative course was uneventful in all cases. The patients declared no pain in the neck, and there were no cases showing recurrent nerve paralysis. Five in six cases (83%), the closure of fistula was archived in the first cauterization. One case (16.6%) required repeated cauterization. No recurrence was found during the follow‐up period ( median: 1 year) in any cases. CONCLUSIONS: Owing to its rarity in neonates, the diagnosis and treatment of PSC remains complicated and not clearly described. Complete removal of the fistula and the cyst with or without affected thyroid tissue was previously the most commonly used treatment. From our experience, we believe that endoscopic electrocauterization can be the first choice not only for PSF but also for neonatal PSC. In conclusion, endoscopic electrocauterization is feasible even for neonatal PSC. Further investigations including multicenter analyses are needed.
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spelling pubmed-93077282022-07-26 Successful management of pyriform sinus cyst and fistula using endoscopic electrocauterization Kawakubo, Naonori Obata, Satoshi Yoshimaru, Koichiro Miyoshi, Kina Izaki, Tomoko Tajiri, Tatsuro DEN Open Original Articles OBJECTIVES: Pyriform sinus cyst (PSC) and pyriform sinus fistula (PSF) is a rare congenital malformation that arises from the third or fourth branchial structure. In our study, we describe the safety and the utility of endoscopic electrocauterization against PSC/PSF. METHODS: We retrospectively reviewed the records of patients who underwent endoscopic electrocauterization for PSC/PSF at our hospital. The internal opening of the fistula was identified under general anesthesia using a flexible endoscope (XQ‐260 or H‐290; Olympus, Tokyo, Japan), and the DualKnifeJ (KD‐655L; Olympus) was used to ablate the internal opening. RESULTS: We experienced three PSF and three PSC patients. The postoperative course was uneventful in all cases. The patients declared no pain in the neck, and there were no cases showing recurrent nerve paralysis. Five in six cases (83%), the closure of fistula was archived in the first cauterization. One case (16.6%) required repeated cauterization. No recurrence was found during the follow‐up period ( median: 1 year) in any cases. CONCLUSIONS: Owing to its rarity in neonates, the diagnosis and treatment of PSC remains complicated and not clearly described. Complete removal of the fistula and the cyst with or without affected thyroid tissue was previously the most commonly used treatment. From our experience, we believe that endoscopic electrocauterization can be the first choice not only for PSF but also for neonatal PSC. In conclusion, endoscopic electrocauterization is feasible even for neonatal PSC. Further investigations including multicenter analyses are needed. John Wiley and Sons Inc. 2022-05-15 /pmc/articles/PMC9307728/ /pubmed/35898836 http://dx.doi.org/10.1002/deo2.128 Text en © 2022 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Kawakubo, Naonori
Obata, Satoshi
Yoshimaru, Koichiro
Miyoshi, Kina
Izaki, Tomoko
Tajiri, Tatsuro
Successful management of pyriform sinus cyst and fistula using endoscopic electrocauterization
title Successful management of pyriform sinus cyst and fistula using endoscopic electrocauterization
title_full Successful management of pyriform sinus cyst and fistula using endoscopic electrocauterization
title_fullStr Successful management of pyriform sinus cyst and fistula using endoscopic electrocauterization
title_full_unstemmed Successful management of pyriform sinus cyst and fistula using endoscopic electrocauterization
title_short Successful management of pyriform sinus cyst and fistula using endoscopic electrocauterization
title_sort successful management of pyriform sinus cyst and fistula using endoscopic electrocauterization
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9307728/
https://www.ncbi.nlm.nih.gov/pubmed/35898836
http://dx.doi.org/10.1002/deo2.128
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