J Korean Soc Laryngol Phoniatr Logoped.  2018 Dec;29(2):94-97. 10.0000/jkslpl.2018.29.2.94.

The Combination Therapy of Chemocauterization and Electrocauterization on Fourth Branchial Cleft Cyst

• Lee G
• Ahn D
• Sohn JH

• KMID: 2437328
• DOI: http://doi.org/10.0000/jkslpl.2018.29.2.94

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.

Keyword

Fourth branchial cleft cyst; Trichloroacetic acid; Chemocauterization

MeSH Terms

Abscess
Branchial Region*
Branchioma*
Drainage
Fistula
Follow-Up Studies
Humans
Medical Records
Pyriform Sinus
Recurrence
Retrospective Studies
Trichloroacetic Acid
Trichloroacetic Acid