Congenital Pyriform Sinus Fistula: Management of an Extra-Delayed and Atypical Case

Abstract

Clinical presentations of pyriform sinus fistulas vary, and this sometimes leads to a delay in diagnosis and treatment. Recently, we experienced a case of recurrent cervical abscesses occurring after thyroidectomy in an adult affected by a bifidus pyriform sinus fistula. The diagnostic dilemma was related to the timing of events, with a single episode of acute suppurative thyroiditis having occurred 16 years before the onset of the more recent clinical scenario. An endoscopic approach allowed effective management of this clinical case.

Left sinus pyriform fistula treated by minimally invasive approach: A case report

“…Sealing materials, such as Glubran 2 or a combination of Tissucol and Def lux, have also been used during endoscopic surgery [ 13 ].…”