You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 124 No. 9, September 1998 TABLE OF CONTENTS
  Archives
  •  Online Features
  Clinical Note
 This Article
 •Full text
 •PDF
 • Reply to article
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citing articles on HighWire
 •Citing articles on ISI (14)
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal

Endoscopic Cauterization for Treatment of Fourth Branchial Cleft Sinuses

Jennifer A. Jordan, MD; Joe E. Graves, MD; Scott C. Manning, MD; John E. McClay, MD; Michael J. Biavati, MD

Arch Otolaryngol Head Neck Surg. 1998;124:1021-1024.

Fourth branchial cleft sinuses are rare, and the nature of their origin is controversial. Clinical presentation is varied because they may present as asymptomatic neck masses, recurrent neck abscesses, or suppurative thyroiditis. We describe herein 7 children who presented with abscesses on the left side of their necks, 3 of whom had abscesses that involved the thyroid gland. Direct laryngoscopy revealed that all 7 children had a sinus tract opening into the apex of the piriform sinus. Endoscopic obliteration of this tract was achieved using an insulated electrocautery probe either when the abscess was initially incised and drained or 4 to 6 weeks later. All 7 children recovered uneventfully. Four of the 7 children were followed up for more than 18 months without recurrence.


From the Division of Pediatric Otolaryngology, University of Texas Southwestern Medical Center, Dallas (Drs Jordan, Manning, McClay, and Biavati); and Pediatric Ear, Nose & Throat Associates, Knoxville, Tenn (Dr Graves). Dr Manning is now with the Department of Otolaryngology, University of Washington, Seattle.



THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Endoscopic Cauterization of Fourth Branchial Cleft Sinus Tracts
Verret et al.
Arch Otolaryngol Head Neck Surg 2004;130:465-468.
ABSTRACT | FULL TEXT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1998 American Medical Association. All Rights Reserved.