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本文报告一例腮源性颈正中咽皮肤瘘管。患者男性15岁,颈前正中有一瘘管,治愈后反复复发,病理组织检查为慢性炎症,具有异物肉芽反应。X线摄片发现左侧梨状窝有向下扩展之瘘管,与开口不相连。第四次手术开始时用海绵浸泡美兰放在梨状窝内,但是不能将瘘管轮廓画出,经颈部切口进入下咽部,将瘘管全部摘除,伤口愈合良好,术后三年无复发。作者提出,文献中报道有1/3到1/4的甲状舌骨管和腮源性畸形可以形成瘘管。根据皮肤的位置即可判断来源于咽部,颈部正中的瘘管可能是
This article reports a case of gingival neck pharyngeal fistula. Male patients 15 years old, there is a fistula in the middle of the neck, repeated recurrence after healing, pathological examination for chronic inflammation, with foreign body granulation reaction. X-ray film found on the left piri fossa has downward expansion of the fistula, and the opening is not connected. The fourth surgery with a sponge soaked in Miriam on the pear-shaped nest, but can not be drawn fistula outline, through the neck incision into the hypopharynx, the fistula were removed, the wound healing well, no relapse after three years . The authors suggest that 1/3 to 1/4 of the thyroid hyoid and gingival deformities can be reported in the literature as fistulas. According to the location of the skin can be judged from the pharynx, fistula in the middle of the neck may be