Fistula of Piriform Recesus and
Abscess of Thyroid Gland –Diagnosis and Therapy (Review of Literature and Analysis of Two Cases)
Astl J., Taudy M., Laštůvka P., Jablonický P., Belšan T.*, Betka J.
Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK FN Motol, Praha, Katedra otorinolaryngologie IPVZ, Praha, přednosta prof. MUDr. J. Betka, DrSc. Klinika zobrazovacích metod 2. LF UK FN Motol, Praha, přednosta prof. MUDr. J. Neuwirth, DrSc.* |
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Summary:
Abscess of thyroid gland is a rare disease. The origin of the thyroid gland abscess is
connected witha preceding inflammatory disease localized especially in upper respiratory pathways,
swallowing passages, fistulas of recesus piriformis and developmental defects of the third or
forthgill plica, exceptionally with persisting ductus thyreoglossus. The reports published so far
summarize data on the incidence, etiology, symptoms, complications, diagnosis and management of
abscesses of thyroid gland.
The paper presents two cases of patients with abscess of thyroid gland, a 36-year man and a 24-year
woman. Symptoms, diagnostic procedure and therapy are described.
The abscess of thyroid gland develops rarely. In the case of relapsing abscesses it is necessary to
look for a fistula of the piriform recesus. Surgery is the therapy of choice for abscesses of thyroid
gland - incision (or hemithyreoidectomy) is accompanied by a perfect drainage. The surgery is
accompanied by the administration of antibiotics according to sensitivity determined by bacteriological
examination. After the abscess is healed up, the presence of fistula of the piriform recesus
should be excluded in all patients.
Key words:
abscess of thyroid gland, fistula or recesus piriformis, complications, diagnosis.
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