Li Wei, Huang Zhenghua, Li Qi
Department of Otolaryngology Head and Neck Surgery，Children's Hospital of Nanjing Medical University，Nanjing，210008，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Jan;36(1):51-54. doi: 10.13201/j.issn.2096-7993.2022.01.011.
To investigate the effect of low-temperature plasma obliteration for pyriform sinus fistula by visual laryngoscope. The clinical data of 29 cases with congenital pyriform sinus fistula receiving low temperature plasma obliteration by visual laryngoscope during March 2019 to August 2021 was retrospectively analyzed in department of Otolaryngology Head and Neck Surgery of Children's Hospital of Nanjing Medical University. Nineteen cases accepted the pyriform sinus fistula probing + fistula obliteration, 6 cases accepted the pyriform sinus fistula probing + fistula obliteration + neck abscess incision and drainage, and 4 cases with cervical abscess accepted the pyriform sinus fistula probing + fistula obliteration. All cases had no obvious complications. Two cases had vocal cord impairment after operations and recovered after one month. There was no recurrence in 2 to 30 months follow up, with mean 16 months follow up. Low-temperature plasma obliteration of pyriform sinus fistula by visual laryngoscope is a safe and effective surgical method with little trauma and short hospital stay. It could be the first choice for the treatment of pyriform sinus fistula. Incision and drainage of neck abscess and pyriform sinus fistula obliteration could be performed concurrently.
探讨电子喉镜下低温等离子体消融术治疗梨状窝瘘的效果。回顾性分析2019年3月至2021年8月南京医科大学附属儿童医院耳鼻咽喉头颈外科收治的29例先天性梨状窝瘘患儿接受电子喉镜下低温等离子体消融术的临床资料。其中19例行梨状窝瘘探查+瘘管消融术，6例行梨状窝瘘探查+瘘管消融术+颈部脓肿切开引流术，4例颈部脓肿患儿行梨状窝瘘探查+瘘管消融术。所有病例均无明显并发症。术后2例出现声带损伤，1个月后恢复。随访2至30个月，平均随访16个月，均无复发。电子喉镜下低温等离子体消融术治疗梨状窝瘘安全有效，创伤小，住院时间短，可作为梨状窝瘘治疗的首选方法，可同时行颈部脓肿切开引流及梨状窝瘘管消融术。
