Laryngoscope-Guided plasma radiofrequency ablation combined with incision/drainage for neonatal congenital pyriform Sinus Fistula with abscess: safety and minimally invasive approach - Report - MDSpire
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Laryngoscope-Guided plasma radiofrequency ablation combined with incision/drainage for neonatal congenital pyriform Sinus Fistula with abscess: safety and minimally invasive approach
Clinical Report: Laryngoscope-Assisted Plasma Radiofrequency Ablation for CPSF
Overview
This study evaluates the safety and efficacy of a combined surgical approach for neonatal congenital pyriform sinus fistula (CPSF) with abscess. The results indicate that this technique may lead to different outcomes compared to simple drainage.
Background
Congenital pyriform sinus fistula (CPSF) is a rare anomaly that can present with significant complications, including neck abscesses in neonates. Traditional treatment methods often involve high surgical trauma and recurrence rates, as noted in previous studies. This study explores a minimally invasive technique that may improve outcomes for affected neonates.
Data Highlights
Metric
Combined Surgery Group (n=14)
Simple Drainage Group (n=7)
NFSS-8 Score
11.87 ± 2.94
15.29 ± 4.01
Vocal Cord Mobility
92.86%
57.14%
12-Month Recurrence Rate
7.14%
100%
Key Findings
The combined surgery group had a significantly lower NFSS-8 score compared to the simple drainage group (P = 0.019).
Normal vocal cord movement was more prevalent in the combined surgery group (92.86% vs. 57.14%, P = 0.043).
The 12-month recurrence rate was significantly lower in the combined surgery group (7.14% vs. 100%, P = 0.002).
There were no significant differences in blood loss or pain levels between the two groups.
The combined surgery group experienced a longer operating time (P < 0.001).
Clinical Implications
The findings indicate that combining neck abscess incision and drainage with plasma radiofrequency ablation may provide a treatment option for neonatal CPSF. Further research is needed to validate these findings.
Conclusion
The study supports the use of a minimally invasive technique for treating CPSF in neonates. Further research is warranted to validate these findings in larger cohorts.
