Department of Otolaryngology-Head and Neck Surgery, 36777Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Department of Otorhinolaryngology, EYE and ENT Hospital of Fudan University, Shanghai, People's Republic of China.
Ear Nose Throat J. 2021 Sep;100(5_suppl):700S-706S. doi: 10.1177/0145561319898941. Epub 2020 Feb 19.
The purpose of this study is to explore the curative effect of open surgical excision and endoscopic radiofrequency ablation (RA) in the treatment of piriform fossa fistula (PSF).
Retrospective study of 80 cases of PSF in the Department of Otolaryngology-Head and Neck Surgery, Shanghai Children's Hospital, from June 2009 to June 2017.
In this series, there were 43 males and 37 females, and the mean age was 5.2 years (17 days to 12 years). Surgical excision was performed for 62 patients. Radiofrequency ablation was performed for 18 patients. Six cases of postoperative temporary hoarseness occurred, and the hoarseness rates were not significantly different between the excision and RA groups (6.4% vs 11.1%, respectively, = .88). Two cases of temporary neck abscess occurred in the RA group. After the mean follow-up period of 3.1 years (1-8 years), no recurrence was found between the excision and RA groups.
The curative effect of excision and RA for PSF is not significantly different; each of the 2 methods has its advantages and disadvantages. However, RA for PSF has the merit of being minimally invasive, easy to operate, and safe; this procedure seems to be more suitable in the clinic.
本研究旨在探讨开放式手术切除与内镜下射频消融（RA）治疗梨状窝瘘（PSF）的疗效。
回顾性分析 2009 年 6 月至 2017 年 6 月上海儿童医学中心耳鼻咽喉头颈外科收治的 80 例 PSF 患者的临床资料。
本组男 43 例，女 37 例，年龄 17 天至 12 岁，平均 5.2 岁。62 例行手术切除，18 例行 RA。术后一过性声音嘶哑 6 例，切除组与 RA 组的声音嘶哑发生率差异无统计学意义（6.4%比 11.1%， =.88）。RA 组出现 2 例暂时性颈部脓肿。术后平均随访 3.1 年（1～8 年），切除组与 RA 组均未见复发。
手术切除与 RA 治疗 PSF 的疗效差异无统计学意义；两种方法各有优缺点。然而，RA 治疗 PSF 具有微创、操作简单、安全的优点，在临床上似乎更适用。
