The Combination Therapy of Chemocauterization and Electrocauterization on Fourth Branchial Cleft Cyst
Article
in Ko
| WPRIM
| ID: wpr-758507
Responsible library:
WPRO
ABSTRACT
BACKGROUND AND OBJECTIVES: Fourth branchial cleft cyst is a rare congenital anomaly which cause a recurrent cervical abscess. Complete excision of fourth branchial cleft cyst is difficult because of a complicated fistula tract. In addition to attempting chemocauterization with trichloroacetic acid (TCA) to avoid surgical complications, authors performed an electrocauterization to close internal opening of pyriform sinus. MATERIALS AND METHODS: We reviewed ten patients of fourth branchial cleft cyst underwent TCA chemocauterization and electrocauterization simultaneously. Clinical characteristics including patient informations, medical records, treatment results were analyzed retrospectively. RESULTS: Interval time until diagnosed with fourth branchial cleft cyst was variable from several days to decades. Five patients had a history of incision and drainage. Mean follow up period was 36.1 months and all patients were treated with no recurrence. CONCLUSION: TCA chemocauterization with electrocauterization can be a effective choice to reduce recurrence rate and ensure safety of patients of fourth branchial cleft cyst.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Recurrence
/
Trichloroacetic Acid
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Branchial Region
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Branchioma
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Drainage
/
Medical Records
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Retrospective Studies
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Follow-Up Studies
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Abscess
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Pyriform Sinus
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
Ko
Journal:
Journal of the Korean Society of Laryngology Phoniatrics and Logopedics
Year:
2018
Type:
Article