A Case of Pyriform Sinus Fistula with Respiratory Distress in the Neonatal Period

Pyriform sinus fistula (PSF) is an anomaly that can arise due to failure of involution of the third or fourth branchial cleft during embryogenesis. It can manifest clinically as sinuses, cysts, or abscesses in the neck and is common in childhood. Herein, we describe a neonate who presented with neck...

Full description

Saved in:
Bibliographic Details
Main Authors: Noriko Hamaguchi, Hajime Ishinaga, Kazuki Chiyonobu, Hiroyuki Morishita, Kazuhiko Takeuchi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2018/1696875
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832555497670049792
author Noriko Hamaguchi
Hajime Ishinaga
Kazuki Chiyonobu
Hiroyuki Morishita
Kazuhiko Takeuchi
author_facet Noriko Hamaguchi
Hajime Ishinaga
Kazuki Chiyonobu
Hiroyuki Morishita
Kazuhiko Takeuchi
author_sort Noriko Hamaguchi
collection DOAJ
description Pyriform sinus fistula (PSF) is an anomaly that can arise due to failure of involution of the third or fourth branchial cleft during embryogenesis. It can manifest clinically as sinuses, cysts, or abscesses in the neck and is common in childhood. Herein, we describe a neonate who presented with neck swelling and respiratory distress, which was secondary to a fourth branchial pouch sinus. Physical examination revealed swollen areas in the posterolateral pharyngeal wall and on the external left side of the neck. Computed tomography imaging showed a left-sided mass that was filled with air and fluid. Eventually, the pyriform sinus cyst and the entire fistulous tract were excised. The postoperative course was uneventful. Follow-up after 18 months showed no recurrence.
format Article
id doaj-art-dce5efd69afd41368111735f01a5ea92
institution Kabale University
issn 2090-6765
2090-6773
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Otolaryngology
spelling doaj-art-dce5efd69afd41368111735f01a5ea922025-02-03T05:48:07ZengWileyCase Reports in Otolaryngology2090-67652090-67732018-01-01201810.1155/2018/16968751696875A Case of Pyriform Sinus Fistula with Respiratory Distress in the Neonatal PeriodNoriko Hamaguchi0Hajime Ishinaga1Kazuki Chiyonobu2Hiroyuki Morishita3Kazuhiko Takeuchi4Department of Otorhinolaryngology-Head and Neck Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, JapanPyriform sinus fistula (PSF) is an anomaly that can arise due to failure of involution of the third or fourth branchial cleft during embryogenesis. It can manifest clinically as sinuses, cysts, or abscesses in the neck and is common in childhood. Herein, we describe a neonate who presented with neck swelling and respiratory distress, which was secondary to a fourth branchial pouch sinus. Physical examination revealed swollen areas in the posterolateral pharyngeal wall and on the external left side of the neck. Computed tomography imaging showed a left-sided mass that was filled with air and fluid. Eventually, the pyriform sinus cyst and the entire fistulous tract were excised. The postoperative course was uneventful. Follow-up after 18 months showed no recurrence.http://dx.doi.org/10.1155/2018/1696875
spellingShingle Noriko Hamaguchi
Hajime Ishinaga
Kazuki Chiyonobu
Hiroyuki Morishita
Kazuhiko Takeuchi
A Case of Pyriform Sinus Fistula with Respiratory Distress in the Neonatal Period
Case Reports in Otolaryngology
title A Case of Pyriform Sinus Fistula with Respiratory Distress in the Neonatal Period
title_full A Case of Pyriform Sinus Fistula with Respiratory Distress in the Neonatal Period
title_fullStr A Case of Pyriform Sinus Fistula with Respiratory Distress in the Neonatal Period
title_full_unstemmed A Case of Pyriform Sinus Fistula with Respiratory Distress in the Neonatal Period
title_short A Case of Pyriform Sinus Fistula with Respiratory Distress in the Neonatal Period
title_sort case of pyriform sinus fistula with respiratory distress in the neonatal period
url http://dx.doi.org/10.1155/2018/1696875
work_keys_str_mv AT norikohamaguchi acaseofpyriformsinusfistulawithrespiratorydistressintheneonatalperiod
AT hajimeishinaga acaseofpyriformsinusfistulawithrespiratorydistressintheneonatalperiod
AT kazukichiyonobu acaseofpyriformsinusfistulawithrespiratorydistressintheneonatalperiod
AT hiroyukimorishita acaseofpyriformsinusfistulawithrespiratorydistressintheneonatalperiod
AT kazuhikotakeuchi acaseofpyriformsinusfistulawithrespiratorydistressintheneonatalperiod
AT norikohamaguchi caseofpyriformsinusfistulawithrespiratorydistressintheneonatalperiod
AT hajimeishinaga caseofpyriformsinusfistulawithrespiratorydistressintheneonatalperiod
AT kazukichiyonobu caseofpyriformsinusfistulawithrespiratorydistressintheneonatalperiod
AT hiroyukimorishita caseofpyriformsinusfistulawithrespiratorydistressintheneonatalperiod
AT kazuhikotakeuchi caseofpyriformsinusfistulawithrespiratorydistressintheneonatalperiod