Chatzimanolis E, Dokianakis G, Gavalas G
HNO-Klinik und Poliklinik, Griechischen Roten-Kreuz-Krankenhauses von Athen.
HNO. 1990 Jun;38(6):217-9.
This is the first description of a fistula arising from both the fourth branchial cleft and the fourth pharyngeal pouch in a 62-year-old woman. This developmental anomaly ran from the piriform sinus to the skin of the left side of the neck. A small quantity of liquid was seen to flow from the external opening of the fistula during drinking or swallowing. Surgery revealed a tract inferior to the superior laryngeal nerve and lateral to the recurrent laryngeal nerve. This fistula penetrated the larynx in the region of the cricothyroid joint and ended in the piriform sinus. This patient had neither suffered infection of the fistula, nor had undergone a prior surgical procedure.
这是对一名62岁女性第四鳃裂和第四咽囊同时出现瘘管的首次描述。这种发育异常从梨状窦延伸至颈部左侧皮肤。在饮水或吞咽时，可见少量液体从瘘管外口流出。手术发现瘘管位于喉上神经下方、喉返神经外侧。该瘘管在环甲关节区域穿透喉部，终止于梨状窦。该患者既往瘘管未发生感染，也未接受过手术治疗。
