Second branchial fistula;
Second branchial cleft fistula;
Endoscopic;
Fistulectomy;
Minimally invasive surgical procedures;
CLEFT FISTULA;
CYSTS;
MANAGEMENT;
ANOMALIES;
RESECTION;
SINUSES;
D O I:
10.1016/j.ijporl.2021.110668
中图分类号:
R76 [耳鼻咽喉科学];
学科分类号:
100213 ;
摘要:
Objectives: To describe and assess a novel technique of complete endoscopic combined transcervical-transoral fistulectomy (ECCOF) in the management of pediatric complete second branchial cleft (BC) fistula tracts (SBCFTs). Methods: A prospective single-center consecutive case series of SBCFTs was designed. Course and angles of inclination of the tract towards the pharyngeal wall were assessed using CT fistulography. Complete endoscopic fistulectomy was performed using three levels of dissection via ECCOF. Technique, advantages, complications and recurrences were assessed. Results: Five children with a mean age of 4.1 +/- 0.96 years and seven SBCFTs were included. Four were left-sided fistulae (57.2%), while three were right-sided fistulae (42.8%). The average angle of deep inclination of the fistula tracts between the first and second parts of the fistula tracts (at the carotid bifurcation) was 143.57 +/- 10.92 degrees. Complete visualization with safe dissection in all three levels of ECCOF was obtained for all fistulae. No recurrence or complications were observed with an average follow-up of 35.85 +/- 22.13 months. Conclusion: Endoscopic management of SBCFTs appears to be effective and safe. It avoids the prerequisite for wide or double incisions and enables an excellent view of the surrounding structures, which leads to fewer complications and recurrences.
机构:
Department of Radiology, Royal London Hospital, Barts Health NHS Trust, LondonDepartment of Radiology, Royal London Hospital, Barts Health NHS Trust, London
Adams A.
Mankad K.
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机构:
Department of Radiology, Great Ormond Street Hospital, Great Ormond Street, LondonDepartment of Radiology, Royal London Hospital, Barts Health NHS Trust, London
Mankad K.
Offiah C.
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机构:
Department of Radiology, Royal London Hospital, Barts Health NHS Trust, LondonDepartment of Radiology, Royal London Hospital, Barts Health NHS Trust, London
Offiah C.
Childs L.
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h-index: 0
机构:
Department of Radiology, Royal London Hospital, Barts Health NHS Trust, LondonDepartment of Radiology, Royal London Hospital, Barts Health NHS Trust, London
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Bajaj, Y.
Ifeacho, S.
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h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Ifeacho, S.
Tweedie, D.
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机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Tweedie, D.
Jephson, C. G.
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机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Jephson, C. G.
Albert, D. M.
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Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Albert, D. M.
Cochrane, L. A.
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h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Cochrane, L. A.
Wyatt, M. E.
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h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Wyatt, M. E.
Jonas, N.
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h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Jonas, N.
Hartley, B. E. J.
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h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
机构:
Univ Oklahoma, Med Ctr, Dept Otorhinolaryngol, Oklahoma City, OK 73104 USAUniv Oklahoma, Med Ctr, Dept Otorhinolaryngol, Oklahoma City, OK 73104 USA
Goff, Christopher J.
Allred, Carly
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oklahoma, Coll Med, Oklahoma City, OK 73190 USAUniv Oklahoma, Med Ctr, Dept Otorhinolaryngol, Oklahoma City, OK 73104 USA
Allred, Carly
Glade, Robert S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oklahoma, Med Ctr, Dept Otorhinolaryngol, Oklahoma City, OK 73104 USAUniv Oklahoma, Med Ctr, Dept Otorhinolaryngol, Oklahoma City, OK 73104 USA
机构:
Seoul Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, 101 Daehak Ro, Seoul 03080, South Korea
Kim, Bo Hae
Kwon, Seong Keun
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h-index: 0
机构:
Seoul Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, 101 Daehak Ro, Seoul 03080, South Korea
Kwon, Seong Keun
Hah, J. Hun
论文数: 0引用数: 0
h-index: 0
机构:
Seoul Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, 101 Daehak Ro, Seoul 03080, South Korea
机构:
Department of Radiology, Royal London Hospital, Barts Health NHS Trust, LondonDepartment of Radiology, Royal London Hospital, Barts Health NHS Trust, London
Adams A.
Mankad K.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Radiology, Great Ormond Street Hospital, Great Ormond Street, LondonDepartment of Radiology, Royal London Hospital, Barts Health NHS Trust, London
Mankad K.
Offiah C.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Radiology, Royal London Hospital, Barts Health NHS Trust, LondonDepartment of Radiology, Royal London Hospital, Barts Health NHS Trust, London
Offiah C.
Childs L.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Radiology, Royal London Hospital, Barts Health NHS Trust, LondonDepartment of Radiology, Royal London Hospital, Barts Health NHS Trust, London
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Bajaj, Y.
Ifeacho, S.
论文数: 0引用数: 0
h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Ifeacho, S.
Tweedie, D.
论文数: 0引用数: 0
h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Tweedie, D.
Jephson, C. G.
论文数: 0引用数: 0
h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Jephson, C. G.
Albert, D. M.
论文数: 0引用数: 0
h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Albert, D. M.
Cochrane, L. A.
论文数: 0引用数: 0
h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Cochrane, L. A.
Wyatt, M. E.
论文数: 0引用数: 0
h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Wyatt, M. E.
Jonas, N.
论文数: 0引用数: 0
h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
Jonas, N.
Hartley, B. E. J.
论文数: 0引用数: 0
h-index: 0
机构:
Great Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, EnglandGreat Ormond St Hosp Sick Children, Dept Otolaryngol, London LS17 7WA, England
机构:
Univ Oklahoma, Med Ctr, Dept Otorhinolaryngol, Oklahoma City, OK 73104 USAUniv Oklahoma, Med Ctr, Dept Otorhinolaryngol, Oklahoma City, OK 73104 USA
Goff, Christopher J.
Allred, Carly
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oklahoma, Coll Med, Oklahoma City, OK 73190 USAUniv Oklahoma, Med Ctr, Dept Otorhinolaryngol, Oklahoma City, OK 73104 USA
Allred, Carly
Glade, Robert S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oklahoma, Med Ctr, Dept Otorhinolaryngol, Oklahoma City, OK 73104 USAUniv Oklahoma, Med Ctr, Dept Otorhinolaryngol, Oklahoma City, OK 73104 USA
机构:
Seoul Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, 101 Daehak Ro, Seoul 03080, South Korea
Kim, Bo Hae
Kwon, Seong Keun
论文数: 0引用数: 0
h-index: 0
机构:
Seoul Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, 101 Daehak Ro, Seoul 03080, South Korea
Kwon, Seong Keun
Hah, J. Hun
论文数: 0引用数: 0
h-index: 0
机构:
Seoul Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, 101 Daehak Ro, Seoul 03080, South Korea