Congenital fistula of the fourth branchial pouch
Congenital fistula of the fourth branchial pouch
复制标题
先天性第四鳃袋瘘
DOI：
10.1007/s004050050069
复制
发表时间：
1998
影响因子：
2.6
通讯作者：
Philippe Clapuyt
中科院分区：
文献类型：
--
作者：
Marc Hamoir;Philippe Rombaux;A. Cornu;Philippe Clapuyt
摘要1986年至1995年，128例患者接受治疗的各种头部和颈部先天性畸形在圣吕克大学医院，鲁汶。我们报告三例第四鳃囊囊肿需要手术切除。其中1例在同侧出现第三鳃囊残留，随后出现第四鳃囊窦道。据我们所知，这是文献中发表的第一例。第四鳃囊窦道可在颈部脓肿或急性化脓性甲状腺炎（尤其是婴儿）反复发作时出现。在潜伏期吞钡和全麻下下咽内窥镜检查可以识别该管道。治疗方法可选择瘘管全切除，直至梨状窦，同时行或不行甲状腺左叶和峡部切除术。
Abstract Between 1986 and 1995, 128 patients were treated for various head and neck congenital malformations at Saint-Luc University Hospital, Louvain. We report three cases of fourth branchial pouch cysts requiring surgical removal. One of these cases presented with a third branchial pouch remnant on the same side and subsequently a fourth branchial pouch sinus. To our knowledge, this is the first case published in the literature. A fourth branchial pouch sinus tract can become manifest clinically by recurrent episodes of neck abscess or acute suppurative thyroiditis (especially in infants). The tract can be identified with a barium swallow during the period of latency and hypopharyngeal endoscopy under general anesthesia. Total excision of the fistula with dissection up to the pyriform sinus with or without a left thyroid gland lobectomy and isthmectomy is the treatment of choice.