The Combination Therapy of Chemocauterization and Electrocauterization on Fourth Branchial Cleft Cyst
- Author:
GilJoon LEE
1
;
Dongbin AHN
;
Jin Ho SOHN
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Kyungpook National University School of Medicine, Daegu, Korea. sohnjh@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Fourth branchial cleft cyst;
Trichloroacetic acid;
Chemocauterization
- MeSH:
Abscess;
Branchial Region;
Branchioma;
Drainage;
Fistula;
Follow-Up Studies;
Humans;
Medical Records;
Pyriform Sinus;
Recurrence;
Retrospective Studies;
Trichloroacetic Acid
- From:Journal of the Korean Society of Laryngology Phoniatrics and Logopedics
2018;29(2):94-97
- CountryRepublic of Korea
- Language:Korean
-
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.
