Recurrent pyriform sinus fistula successfully treated by endoscopic Glubran 2 sealing: A rare case and literature review

Author:

Di Nardo Giovanni1,Valentini Valentino2,Angeletti Diletta3,Frediani Simone4,Iannella Giannicola3,Cozzi Denis4,Roggini Mario5,Magliulo Giuseppe3

Affiliation:

1. Department of Pediatrics, Sapienza University of Rome, Rome, Italy

2. Department of Maxillo-Facial Surgery, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy

3. Organi di Senso Department, Sapienza University of Rome, Rome, Italy

4. Pediatric Surgery Unit, Sapienza University of Rome, Rome, Italy

5. Servizio Speciale di Radiologia Pediatrica, Policlinico Umberto I, Università degli Studi La Sapienza, Roma, Italy

Abstract

Objectives: The authors present the case of a 3-year-old girl with a history of complicated surgery for removing a third branchial cleft fistula. Methods: An endoscopic approach using N-butyl-2-acrylate and metacrilosisolfolane glue (GLUBRAN 2) to seal the fistula was performed. Results: The clinical and radiological 6-year follow-up confirmed the absence of the fistulous orifice and the persistence of scar due to previous open-neck surgical procedures. Conclusion: endoscopic Glubran 2 sealing has been an effective treatment procedure for branchial fistula.

Publisher

SAGE Publications

Subject

General Medicine

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