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

Giovanni Di Nardo; Valentino Valentini; Diletta Angeletti; Simone Frediani; Giannicola Iannella; Denis Cozzi; Mario Roggini; Giuseppe Magliulo

doi:10.1177/2050313X16672151

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

SAGE Open Med Case Rep. 2016 Oct 13:4:2050313X16672151. doi: 10.1177/2050313X16672151. eCollection 2016.

Authors

Giovanni Di Nardo¹, Valentino Valentini², Diletta Angeletti³, Simone Frediani⁴, Giannicola Iannella³, Denis Cozzi⁴, Mario Roggini⁵, Giuseppe Magliulo³

Affiliations

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.

Keywords: Branchial abnormalities; endoscopic cauterization; pyriform sinus fistula; recurrent fistula; third branchial anomalies.

Publication types

Case Reports