Nicollas R, Ducroz V, Garabédian E N, Triglia J M
Department of Pediatric Otolaryngology, La Timone Children's Hospital, Marseille, France.
Int J Pediatr Otorhinolaryngol. 1998 Jun 1;44(1):5-10. doi: 10.1016/s0165-5876(98)00023-8.
A retrospective study in the ENT departments of the Timone Children's Hospital in Marseille and the Armand Trousseau Hospital in Paris and a review of the literature was performed in order to update knowledge about fourth branchial pouch anomalies. Over the 12-year period studied, a total of six children were treated: three boys and three girls. The lesions were located on the left side in all cases and infection was the most common manifestation. Clinical presentation ranged from suppurative thyroiditis in most cases to stridor in a few newborns. The most useful diagnostic examinations are CT-scan of the neck and endoscopy of the pyriform sinus. The authors emphasize the need for complete surgical resection including the cyst and fistulous tract down to the pyriform sinus.
为了更新关于第四鳃裂畸形的知识，对马赛蒂莫内儿童医院和巴黎阿曼德·特鲁索医院的耳鼻喉科进行了一项回顾性研究，并对文献进行了综述。在研究的12年期间，共治疗了6名儿童：3名男孩和3名女孩。所有病例的病变均位于左侧，感染是最常见的表现。临床表现从大多数病例中的化脓性甲状腺炎到少数新生儿中的喘鸣不等。最有用的诊断检查是颈部CT扫描和梨状窦内镜检查。作者强调需要进行完整的手术切除，包括囊肿和瘘管直至梨状窦。
