대한후두음성언어의학회지 (Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics)

  • 제29권2호
  • /
  • Pages.94-97
  • /
  • 2018
  • /
  • 2508-268X(pISSN)
  • /
  • 2508-5603(eISSN)
대한후두음성언어의학회 (The Korean Society of Laryngology, Phoniatrics and Logopedics. )
권호 표지

화학 소작술과 전기 소작술을 동시에 활용한 제 4형 새열낭종의 치료

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

  • 이길준 (경북대학교 의과대학 이비인후-두경부외과학교실) ;
  • 안동빈 (경북대학교 의과대학 이비인후-두경부외과학교실) ;
  • 손진호 (경북대학교 의과대학 이비인후-두경부외과학교실)
  • 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)
  • 투고 : 2018.10.30
  • 심사 : 2018.11.06
  • 발행 : 2018.12.30
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초록

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.

키워드

참고문헌

  1. Drumm AJ, Chow JM. Congenital neck masses. Am Fam Physician 1989;39:163-9.
  2. Chandler JR, Mitchell B. Branchial cleft cysts, sinuses, fistulas. Otolar-yngol Clin North Am 1981;14:175-86.
  3. Narcy P, Aumont-Grossokopf C, Bobin S, Manac'h Y. Fistulae of the fourth endobranchial pouch. Int J Pediatr Otorhinolaryngol 1988;16:157-65.
  4. Hwang J, Kim SC, Kim DY Namgoong JM, Nam SY, Roh JL. Excision versus trichloroacetic acid (TCA) chemocauterization for branchial sinus of the pyriform fossa. J Pediatr Surg 2015;50(11):1949-53 https://doi.org/10.1016/j.jpedsurg.2015.07.006
  5. Kim KH, Sung MW, Koh TY, Oh SA, Kim IS. Pyriform sinus fistula:management with chemocauterization of the internal opening. Ann Otol Rhinol Laryngol 2000;109:452-6. https://doi.org/10.1177/000348940010900503
  6. Kim KH, Sung MW, Lee KJ, Roh JL, Kwon TK, Kim IS, et al. Management of Pyriform Sinus Fistula with Chemocauterization. Korean J Otolaryngol 2002;45:906-10.
  7. Jordan JA, Graves JE, Manning SC, McClay JE, Biavati MJ. Endoscopic cauterization for treatment of fourth branchial cleft sinuses. Arch Otolaryngol Head Neck Surg 1998;124:1021-4. https://doi.org/10.1001/archotol.124.9.1021
  8. Finn DG, Buchalter IH, Sarti E, Romo T, Chodosh P. First branchial cleft cysts:clinical update. Larynogoscope 1987;97:136-40.
  9. Tucker HM, Skolnick ML. Fourth branchial cleft (pharyngeal pouch) remnant. Trans Pa Am Acad Ophthalmol Otolaryngol 1973;77:368-71.
  10. Mahomed A, Younson G. Congenital lateral cervical cysts of infancy. Journal of Pediatric Surgery 1998;33:1413-5. https://doi.org/10.1016/S0022-3468(98)90022-7
  11. NY Do, SY Park, JS Choi, JH Park. A Case of Fourth Branchial Pouch Sinus. Korean J Otolaryngol 2003;46:246-9.
  12. Godin MS, Kearns DB, Pransky SM, Seid AB, Wilson DB. Fourth branchial pouch sinus: principles of diagnosis and management. Laryngoscope 1990;100:174-8.
  13. Liston SL. Fourth branchial fistula. Otolaryngol Head and Neck Surg 1981;89:520-2. https://doi.org/10.1177/019459988108900402
  14. Rosenfeld RM, Biller HF. Fourth branchial pouch sinus: Diagnosis and treatment. Otolaryngol Head Neck Surg 1991;105:44-50. https://doi.org/10.1177/019459989110500107