復發性梨狀竇瘻管－病例報告

Recurrent Pyriform Sinus Fistula - Case Report

薛智仁(Chih-Jen Hsueh) ； 戴世光(Shyh-Kuan Tai) ； 張學逸(Shyue-Yih Chang) ； 黃佳雯(Chia-Wen Huang)

《中華民國耳鼻喉科醫學雜誌》 34卷6期 (1999/11) Pp. 485-488

https://doi.org/10.6286/1999.34.6.485

摘要

鰓源異常是一種常見的頭頸部先天性異常，其中第3或第4鰓源異則是相對少見。它們在臨床上常被發現有梨狀竇瘻管存在。這類病可能接受過多次切開排膿瘍表現，並曾接受多次手術。我們以類似頸部廓清術之原則將除了神經、肌肉、大血管以外的軟組織廣泛切除，術後恢復良好無復發象。(中耳醫誌 1999;34:485-488)

關鍵字

梨狀竇瘻管 ； 第四鰓源異常

並列摘要

Branchial anomalies are common congenital head and neck abnormalities, but the third or fourth branchial anomalies are relatively rare. They are usually found as pyriform sinus fistulas. These patients have often undergone multiple incisions with drainage or incomplete excision that makes further treatment difficult. We experienced a case of recurrent pyriform sinus fistula presented with recurrent neck abscess and had received surgery on several previous occasions. Surgery was performed in a manner sililar to function neck dissection to achieve wide extirpation and preserve nerves, muscles as well as great vessels. The result was good and no recurrence had been noted so far. Operation wide surgical excision in a manner similar to functional neck dissection is as practival treatment method for recurrent pyriform sinus fistulas.

並列關鍵字

pyriform sinus fistula ； fourth branchial anomaly