Acute suppurative thyroiditis and the branchial apparatus

Am J Otolaryngol. Jan-Feb 1991;12(1):6-11. doi: 10.1016/0196-0709(91)90067-p.


Acute suppurative thyroiditis and thyroid abscess are rare. The finding of a sinus tract arising from the pyriform sinus in some cases highlights the possibility of a branchial apparatus origin. We present three case histories that include a left-sided lesion and radiologic or surgical-anatomic evidence of an internal sinus tract. Our discussion focuses on two considerations: first, the exact branchial pouch from which this lesion arises, and second, a proposed protocol for the work-up and management of patients with the onset or recurrence of acute suppurative thyroiditis or thyroid abscess.

Publication types

  • Case Reports

MeSH terms

  • Abscess*
  • Acute Disease
  • Adult
  • Branchial Region
  • Female
  • Fistula*
  • Humans
  • Male
  • Pharyngeal Diseases*
  • Thyroid Diseases*
  • Thyroiditis, Suppurative*