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

화학 소작술과 전기 소작술을 동시에 활용한 제 4형 새열낭종의 치료

  • Lee, GilJoon (Department of Otorhinolaryngology-Head and Neck Surgery, Kyungpook National University School of Medicine) ;
  • Ahn, Dongbin (Department of Otorhinolaryngology-Head and Neck Surgery, Kyungpook National University School of Medicine) ;
  • Sohn, Jin Ho (Department of Otorhinolaryngology-Head and Neck Surgery, Kyungpook National University School of Medicine)
  • 이길준 (경북대학교 의과대학 이비인후-두경부외과학교실) ;
  • 안동빈 (경북대학교 의과대학 이비인후-두경부외과학교실) ;
  • 손진호 (경북대학교 의과대학 이비인후-두경부외과학교실)
  • Received : 2018.10.30
  • Accepted : 2018.11.06
  • Published : 2018.12.30


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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