화학 소작술과 전기 소작술을 동시에 활용한 제 4형 새열낭종의 치료
The Combination Therapy of Chemocauterization and Electrocauterization on Fourth Branchial Cleft Cyst
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
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.
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.
참고문헌 (14)
- Drumm AJ, "Congenital neck masses", Am Fam Physician, 39, pp.163~169 (1989)
- Chandler JR, "Branchial cleft cysts, sinuses, fistulas", Otolar-yngol Clin North Am, 14, pp.175~186 (1981)
- Narcy P, "Fistulae of the fourth endobranchial pouch", Int J Pediatr Otorhinolaryngol, 16, pp.157~165 (1988)
- Hwang J, "Excision versus trichloroacetic acid (TCA) chemocauterization for branchial sinus of the pyriform fossa", J Pediatr Surg, 50(11), pp.1949~1953 (2015)
- Kim KH, "Pyriform sinus fistula:management with chemocauterization of the internal opening", Ann Otol Rhinol Laryngol, 109, pp.452~456 (2000)
- 김광현, "화학 소작술을 이용한 이상와 누공의 치료", 대한이비인후-두경부외과학회지, 45(9), pp.906~910 (2002), 대한이비인후과학회
- Jordan JA, "Endoscopic cauterization for treatment of fourth branchial cleft sinuses", Arch Otolaryngol Head Neck Surg, 124, pp.1021~1024 (1998)
- Finn DG, "First branchial cleft cysts:clinical update", Larynogoscope, 97, pp.136~140 (1987)
- Tucker HM, "Fourth branchial cleft (pharyngeal pouch) remnant", Trans Pa Am Acad Ophthalmol Otolaryngol, 77, pp.368~371 (1973)
- Mahomed A, "Congenital lateral cervical cysts of infancy", Journal of Pediatric Surgery, 33, pp.1413~1415 (1998)
- 도남용, "제 4새성 낭종 1예", 대한이비인후-두경부외과학회지, 46(3), pp.246~249 (2003), 대한이비인후과학회
- Godin MS, "Fourth branchial pouch sinus: principles of diagnosis and management", Laryngoscope, 100, pp.174~178 (1990)
- Liston SL, "Fourth branchial fistula", Otolaryngol Head and Neck Surg, 89, pp.520~522 (1981)
- Rosenfeld RM, "Fourth branchial pouch sinus: Diagnosis and treatment", Otolaryngol Head Neck Surg, 105, pp.44~50 (1991)