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Recurrent cervical abscess due to piriform sinus fistula
H Yamashita1, T Noguchi, M Takahashi
1Department of Otolaryngology, Yamaguchi University School of Medicine, Japan.
The Journal of Laryngology and Otology
|September 1, 1995
Summary
A piriform sinus fistula can cause recurrent neck abscesses. Barium swallow is recommended for diagnosing these rare but recurring abscesses.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Diagnostic Imaging
Background:
- Piriform sinus fistulas are rare congenital anomalies that can lead to recurrent infections.
- Recurrent anterior cervical abscesses pose a diagnostic challenge, often mimicking other conditions.
Observation:
- A case of recurrent abscess in the left anterior neck was identified.
- The abscess was directly linked to a left piriform sinus fistula.
Findings:
- Piriform sinus fistulas are an established cause of acute suppurative thyroiditis.
- This case highlights the fistula's role in inducing recurrent anterior cervical abscesses.
Implications:
- Barium swallow examination is suggested as a crucial diagnostic tool for recurrent cervical abscesses of unknown origin.
- Early diagnosis and intervention for piriform sinus fistulas can prevent recurrent infections and complications.
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