ArticleFrontiers in pediatrics2026
Laryngoscope-Guided plasma radiofrequency ablation combined with incision/drainage for neonatal congenital pyriform Sinus Fistula with abscess: safety and minimally invasive approach.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To evaluate the clinical safety, efficacy, and recurrence management of a combined surgical approach-neck abscess incision and drainage coupled with low-temperature plasma radiofrequency ablation under laryngoscope-guided suspension laryngoscopy, for neonatal congenital pyriform sinus fistula (CPSF) at the abscess stage. Methods: At Hunan Children's Hospital, a retrospective analysis of 21 neonatal abscess-stage CPSF patients was conducted between January 2020 and January 2025. Operative time, blood loss, 24-hour NIPS pain score, vocal cord mobility, NFSS-8 swallowing score, hospital stay, and recurrence rate were the main metrics compared between the simple drainage group ( Results: There were no group differences in baseline variables (gender, gestational age, birth weight, etc.) (all Conclusion: Combining neck abscess incision and drainage with Plasma Radiofrequency Ablation under Laryngoscope-guided is a safe and efficient treatment for congenital pyriform sinus fistula (CPSF) in neonates with abscess, with acceptable short-term functional recovery and a lower recurrence rate. This minimally invasive approach warrants further investigation in larger prospective, randomized studies.
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