Cuestas Giselle, Rodríguez Verónica, Bellia Munzón Patricio, Bellia Munzón Gastón
Sección de Endoscopía Respiratoria, División de Otorrinolaringología. Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.
Servicio de Cirugía. Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.
Arch Argent Pediatr. 2020 Feb;118(1):e81-e84. doi: 10.5546/aap.2020.e81.
Pyriform sinus fistulas are rare anomalies of the branchial arches. The most common form of presentation in children and adolescents is acute suppurative thyroiditis and/or recurrent lateral cervical abscesses. However, fistulas can manifest atypically. The rarity of this pathology and the atypical clinical presentation can delay the diagnosis increasing the risk of recurrent infections and complications. We present the unusual case of a 13-year-old teenager with retropharyngeal abscess due to a congenital pyriform sinus fistula successfully treated by endoscopic electrocautery.
梨状窦瘘是鳃弓的罕见异常。儿童和青少年中最常见的表现形式是急性化脓性甲状腺炎和/或复发性颈侧脓肿。然而，瘘管也可能有非典型表现。这种病理情况的罕见性以及非典型的临床表现会延迟诊断，增加反复感染和并发症的风险。我们报告了一例不寻常的病例，一名13岁青少年因先天性梨状窦瘘导致咽后脓肿，通过内镜电灼成功治疗。
