Document Detail


Chemocauterization of the internal opening with trichloroacetic acid as first-line treatment for pyriform sinus fistula.
MedLine Citation:
PMID:  22495884     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Pyriform sinus fistula is a rare brachial pouch anomaly. However, it is difficult and risky to remove the fistula tract completely. Circumferential chemocauterization of the internal opening with trichloroacetic acid (TCA) for pyriform sinus fistula is simple, reproducible, reliable, and causes less morbidity. The aim of this study was to determine the feasibility of TCA chemocauterization for pyriform sinus fistula. METHODS: This retrospective study enrolled 44 patients who were diagnosed with pyriform sinus fistula and underwent TCA chemocauterization. We retrospectively reviewed the medical records of the patients to obtain their demography as well as treatment outcomes for them. RESULTS: The success rate of treatment for pyriform sinus fistula after the first TCA chemocauterization was 77.3% (34/44) and the cumulative success rate after the second treatment was 93.2% (41/44). There was no complication such as vocal fold palsy after TCA chemocauterization. CONCLUSIONS: It is suggested that TCA chemocauterization can be a reasonable first-line treatment for pyriform sinus fistula. © 2012 Wiley Periodicals, Inc. Head Neck 00:000-000, 2012.
Authors:
Wonjae Cha; Sung-Woo Cho; J Hun Hah; Tack-Kyun Kwon; Myung-Whun Sung; Kwang Hyun Kim
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-12
Journal Detail:
Title:  Head & neck     Volume:  -     ISSN:  1097-0347     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8902541     Medline TA:  Head Neck     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Wiley Periodicals, Inc.
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Korea.
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