Submucosal Abscess of the Esophagus Caused by Piriform Sinus Fistula Treated with Transoral Video Laryngoscopic Surgery | Zendy

S. Koyama | Zendy; Kazunori Fujiwara | Zendy; Tsuyoshi Morisaki | Zendy; Takahiro Fukuhara | Zendy; Katsuyuki Kawamoto | Zendy; Hiroya Kitano | Zendy; Hiromi Takeuchi | Zendy

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Submucosal Abscess of the Esophagus Caused by Piriform Sinus Fistula Treated with Transoral Video Laryngoscopic Surgery

Author(s) -

S. Koyama,

Kazunori Fujiwara,

Tsuyoshi Morisaki,

Takahiro Fukuhara,

Katsuyuki Kawamoto,

Hiroya Kitano,

Hiromi Takeuchi

Publication year - 2016

Publication title -

orl

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.481

H-Index - 44

eISSN - 1423-0275

pISSN - 0301-1569

DOI - 10.1159/000448589

Subject(s) - medicine , surgery , fistula , abscess , pyriform sinus , esophagus , endoscopy

Piriform sinus fistula (PSF) is a rare branchial anomaly that causes repetitive acute suppurative thyroiditis or deep neck abscess. The definitive treatment of PSF is open neck surgery. However, such surgery has a cosmetic problem and a high risk of recurrence. Furthermore, identifying the fistula is difficult due to previous repetitive infections. We report a case of esophageal submucosal abscess caused by PSF treated with endoscopic mucosal incision. The patient underwent transoral video laryngoscopic surgery (TOVS), and endoscopy as well as fluoroscopy revealed complete closure of PSF without any complication. TOVS is a novel surgical technique for the definitive treatment of PSF with esophageal submucosal abscess.

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