Endoscopic Electrocauterization of Pyriform Fossa Sinus Tracts

內視鏡電燒灼用於梨狀窩竇道治療

張淯淞(Yu-Sung Chang) ； 佘筠瑩(Yun-Ying She) ； 林明毅(Ming-Yee Lin)

《台灣耳鼻喉頭頸外科雜誌》 53卷4期 (2018/12) Pp. 158-162

https://doi.org/10.6286/jtohns.201812_53(4).158

摘要

BACKGROUND: Pyriform fossa sinus tracts are rare congenital head and neck entities. Conventional treatment includes surgical resection of entire sinus tracts. However, surgery is complicated and invasive, particularly in younger patients; hence, endoscopic cauterization has become increasingly popular in these patients. METHOD: We investigated the effectiveness and safety of this procedure. Four patients (age, 3-11 years) with pyriform fossa sinus tracts treated by endoscopic electrocauterization at the Kaohsiung Veterans General Hospital from January 2011 to December 2016 were retrospectively analyzed. RESULTS: All patients underwent endoscopic electrocauterization, with two procedures performed as revision surgeries. Only one patient who underwent exploratory neck surgery before the procedure suffered temporary vocal palsy. During the median follow-up of 893 (range, 711-1280) days, no recurrence occurred in any patient. CONCLUSION: Endoscopic electrocauterization is a safe, minimally invasive, and effective alternative to conventional open procedures for pyriform fossa sinus tracts and can be applied during primary and revision surgeries in younger and older patients.

關鍵字

pyriform fossa sinus tract ； branchial anomaly ； endoscopic

並列摘要

背景：梨狀窩竇道是罕見的頭頸部疾病，傳統治療方式是將整個竇道移除，然而手術過程對於幼童來説較爲複雜且具侵犯性，因此改以内視鏡電燒灼逐漸受到注目。方法：本研究探討此術式的安全及效力，回溯性分析於2011年1月至2016年12月間接受内視鏡竇道電燒灼的患者。結果：4名患者中有2名是再次手術。其中僅1名於電燒灼前先接受頸部探查手術的患者有暫時性聲帶麻痺。在平均893天（範圍：711-1280）的追蹤當中，沒有任何1例有復發情形。結論：内視鏡電燒灼是安全、微創的手術，是傳統手術之外的另一個選擇。不論年紀或是否接受過先前手術的患者，都可接受此一療法。

並列關鍵字

pyriform fossa sinus tract ； branchial anomaly ； endoscopic electrocauterization（梨狀窩竇道 ； 腮裂異常 ； 内視鏡電燒灼）