title: [Diagnosis and treatment of pyriform sinus perforation].
abstract: OBJECTIVE
  To study the early diagnosis, treatment and Prognosis of pyriform sinus perforation.
  
  
  METHODS
  To study the clinical feature about 15 cases of pyriform sinus perforation, Most of the 15 cases with pyriform sinus perforation were associated with pharyngeal pain or fever. contrast x-ray studies and CT scan were used to confirm the perforation. conservative treatment in 9 cases and surgical intervention in 6 cases. and review relevant literature.
  
  
  RESULTS
  Of all 15 cases, 9 cases with wild symptoms for conservative treatment, 6 cases with severe symptoms and complications were treated surgically. All achieved better clinical efficacy, By relevant examination, the perforation were healed within 2 - 4 weeks and none had re-perforation for 1 - 30 months follow-up.
  
  
  CONCLUSIONS
  Pyriform sinus perforation with wild symptoms and within 12 hours can be treated conservatively. Large perforation (> 2 cm) last more than 12 hours or any complications require exploration, operation repair if possible and adequate drainage. early diagnosis and effective treatment can reduce the incidence of complications and improve the survival rate of patients.
authors.affiliation: Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Cheng
authors.forename: Bang-hua
authors.initials: BH
authors.lastname: Liu
authors.forename: Ji-bao
authors.initials: JB
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D008875:Middle Aged; D010608:Pharyngeal Diseases / Q000175:diagnosis* / Q000628:therapy*; D056144:Pyriform Sinus / Q000473:pathology*