机构：[1]Department of Otolaryngology, Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, Beijing, China临床科室耳鼻咽喉头颈外科首都医科大学附属北京儿童医院[2]Beijing Key Laboratory for Pediatric Diseases of Otolaryngology, Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, Beijing, China临床科室科研平台耳鼻咽喉头颈外科儿科研究所首都医科大学附属北京儿童医院[3]Long-term system program medical student, Master's degree candidate in pediatric surgery at Beijing Children's Hospital, Capital Medical University, Beijing, China首都医科大学附属北京儿童医院[4]Center for Clinical Epidemiology & Evidence-Based Medicine, Beijing Children's Hospital, Capital Medical University, Beijing, China职能科室临床流行病与循证医学中心首都医科大学附属北京儿童医院[5]Children's National Health System, George Washington University School of Medicine, Washington, DC, USA
Objective: To evaluate the efficacy of CO2 laser cauterization with suspension microlaryngoscopy as a definitive surgical treatment for pediatric Congenital Pyriform Sinus Fistula (CPSF). Material and methods: This is a cohort retrospective study. Thyroid function and cervical ultrasonography examinations were performed before operation. Enhanced magnetic resonance imaging (MRI) was performed on patients with a repeated infection (>= 2 times) and/or if they had a prior open surgery. Patients were divided into two groups: the <8-year-old group and the >= 8-year-old group. The differences in the number of cauterization procedures between the two age groups and between the initial treatment and the retreatment groups were analyzed. Results: CO2 laser cauterizations with suspension microlaryngoscopy were performed for 104 CPSF patients. No complications occurred. Three patients had a recurrence in the follow-up. The number of surgical cauterization operations was fewer than 3 in 85.1% of the patients. There was no significant difference in the number of cauterizations among the different age groups or between the initial treatment and retreatment groups (P > 0.05). Conclusion: CO2 laser cauterization with suspension microlaryngoscopy is a safe, effective, and minimally invasive approach to CPSF with optimal patient outcomes. Type of study: Treatment Study. (C) 2017 Elsevier Inc. All rights reserved.
基金：
Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Findings [ZYLX201508]
第一作者机构：[1]Department of Otolaryngology, Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, Beijing, China[2]Beijing Key Laboratory for Pediatric Diseases of Otolaryngology, Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, Beijing, China
共同第一作者：
通讯作者：
通讯机构：[1]Department of Otolaryngology, Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, Beijing, China[2]Beijing Key Laboratory for Pediatric Diseases of Otolaryngology, Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, Beijing, China[*1]Department ofOtolaryngology, Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, Beijing, 100045, China.
推荐引用方式(GB/T 7714)：
Wang Shengcai,He Yuzhu,Zhang Yamei,et al.CO2 laser cauterization approach to congenital pyriform sinus fistula[J].JOURNAL OF PEDIATRIC SURGERY.2018,53(7):1313-1317.doi:10.1016/j.jpedsurg.2017.06.020.
APA：
Wang, Shengcai,He, Yuzhu,Zhang, Yamei,Zhang, Jie,Shah, Rahul...&Ni, Xin.(2018).CO2 laser cauterization approach to congenital pyriform sinus fistula.JOURNAL OF PEDIATRIC SURGERY,53,(7)
MLA：
Wang, Shengcai,et al."CO2 laser cauterization approach to congenital pyriform sinus fistula".JOURNAL OF PEDIATRIC SURGERY 53..7(2018):1313-1317
