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KMID : 1004320180290020094
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Journal of the Korean Society of Logopedics and Phoniatrics
2018 Volume.29 No. 2 p.94 ~ p.97
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The Combination Therapy of Chemocauterization and Electrocauterization on Fourth Branchial Cleft Cyst
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Lee Gil-Joon
Ahn Dong-Bin
Sohn Jin-Ho
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Abstract
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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.
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KEYWORD
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Fourth branchial cleft cyst, Trichloroacetic acid, Chemocauterization
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