Spontaneous closure of branchial sinus of the pyriform fossa

BMJ Case Reports
Zhaobo LiuKeith Trimble

Abstract

Management of third and fourth branchial cleft anomalies are similar. These anomalies should be suspected in a child with recurrent low-anterior neck abscess. Investigations in the form of cross-sectional studies and examination of the pharynx under anaesthesia will facilitate diagnosis and resolution of abscess. Spontaneous closure of the pyriform sinus can occur following conservative management with antibiotic treatment and abscess drainage. This emphasise the role of second-look prior to implementing endoscopic cauterisation or surgery.

References

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Feb 24, 2007·Journal of Pediatric Endocrinology & Metabolism : JPEM·Malgorzata WasniewskaFilippo De Luca
Jul 4, 2009·Journal of Pediatric Surgery·Keyvan NicoucarPavel Dulguerov
Sep 22, 2010·Archives of Otolaryngology--head & Neck Surgery·Nicolas LeboulangerEréa-Noël Garabedian
Apr 29, 2014·International Journal of Otolaryngology·Sampath Chandra PrasadKishore Chandra Prasad
Oct 27, 2016·SAGE Open Medical Case Reports·Giovanni Di NardoGiuseppe Magliulo

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