{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T04:45:58Z","timestamp":1782708358781,"version":"3.54.5"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004735","name":"Natural Science Foundation of Hunan Province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004735","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the clinical safety, efficacy, and recurrence management of a combined surgical approach\u2014neck 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      At Hunan Children\u2019s 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 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097) and the combined surgery group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200914) based on family request.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no group differences in baseline variables (gender, gestational age, birth weight, etc.) (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). In terms of surgery, the combined group experienced equal blood loss (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.068), pain levels (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.624), and a longer operating time (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). A lower NFSS-8 score (11.87\u2009\u00b1\u20092.94 vs. 15.29\u2009\u00b1\u20094.01,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.019) and more normal vocal cord movement (92.86% vs. 57.14%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.043) demonstrated greater short-term recovery. Hospital stays were comparable (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.781), but the 12-month recurrence rate was lower (7.14% vs. 100%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1862198","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T04:26:07Z","timestamp":1782707167000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Laryngoscope-Guided plasma radiofrequency ablation combined with incision\/drainage for neonatal congenital pyriform Sinus Fistula with abscess: safety and minimally invasive approach"],"prefix":"10.3389","volume":"14","author":[{"given":"Dongjihui","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Children\u2019s Hospital Affiliated to Xiangya School of Medicine, Central South University (Hunan Children\u2019s Hospital)","place":["Changsha, 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Hospital)","place":["Changsha, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sijun","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Children\u2019s Hospital Affiliated to Xiangya School of Medicine, Central South University (Hunan Children\u2019s Hospital)","place":["Changsha, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangliang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Children\u2019s Hospital Affiliated to Xiangya School of Medicine, Central South University (Hunan Children\u2019s Hospital)","place":["Changsha, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1001\/archsurg.1981.01380130044010","article-title":"Pyriform sinus 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