Chemocauterization of second branchial cleft fistula using trichloroacetic acid: A preliminary report

Kim, Bo Hae; Kwon, Seong Keun; Hah, J. Hun

doi:10.1016/j.anl.2017.03.015

Cited by 11 publications

(5 citation statements)

References 15 publications

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“…Recently, the emergence of treatment using sclerotherapy in branchial cleft anomalies gaining a lot of roles in managing this lesion due to its efficacy, easily performed, low morbidity and fewer complications. There are various sclerosant agents that can be used, such as trichloroacetic acid (TCA), OK-432 (picibanil), doxycycline, and ethanol (7)(8)(9)(10) . In this case, we used doxycycline due to its nature as a gentler sclerosant, with lesser side effects, easily available, and inexpensive.…”

Section: Discussionmentioning

confidence: 99%

Doxycycline sclerotherapy in paediatric branchial cleft sinus

Abdul Rashid,

Noh,

Gazali

et al. 2023

Pediatr Med Rodz

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Branchial cleft anomalies are the second most common head and neck lesion in children after thyroglossal cyst. They are congenital lesions resulting from improper involution of the branchial apparatus. The most common treatment of choice is surgical excision, which gives a good outcome. Nevertheless, there has been recent literature exploring sclerosant therapy as a viable alternative to nonsurgical treatment. We present the case of a seven-year-old girl with first branchial cleft cyst who presented with recurrent serous discharge persisting for four years and was successfully treated with sclerotherapy injection with doxycycline.

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Section: Discussionmentioning

confidence: 99%

Doxycycline sclerotherapy in paediatric branchial cleft sinus

Abdul Rashid,

Noh,

Gazali

et al. 2023

Pediatr Med Rodz

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“…Preoperative local injection of methylene blue 4 and endoscopic-assisted positioning of the internal fistula can improve the success rate of the operation to a certain extent. Nonsurgical methods usually include the use of corrosive drugs such as trichloroacetate, 5 which have an unstable effect. Such drugs are not commonly used.…”

Section: Discussionmentioning

confidence: 99%

Unusual coexistence of first and second branchial fistulas: clinical case and review of the literature

Liu

Qiu

et al. 2020

J Int Med Res

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Branchial fistulas are uncommon in the clinical setting. The coexistence of first and second branchial fistulas has not been previously reported. We herein describe a 12-year-old girl who presented with a 2-year history of repeated swelling and purulence behind the right earlobe and neck. According to the patient’s physical and auxiliary examination findings, she was diagnosed with coexisting first and second branchial fistulas, both of which were completely removed by surgery. No clinical signs of fistula recurrence were present at the patient’s 20-month postoperative follow-up. Ipsilateral coexisting first and second branchial fistulas are very rare; thus, a false-positive diagnosis can easily occur if the doctor does not carefully perform specialized physical examinations. Surgery is an effective method for treating this condition. Adequate preoperative imaging preparation is imperative to ensure the most effective course of treatment. The purpose of this article is to improve clinicians’ awareness of this disease, thereby effectively reducing the rates of missed diagnosis and recurrence.

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“…Sclerotherapy using OK-432 and various chemocauterization techniques have also been described but carry a risk of collateral injury to surrounding structures. 60,61 Post-operative complications include injury to the spinal accessory, glossopharyngeal, hypoglossal and vagus nerves, damage to the internal jugular vein and carotid artery and vocal cord paresis. 41,43,62 Recurrence rate after surgery has been reported between 3% and 6%.…”

Section: Second Branchial Cleft Anomaliesmentioning

confidence: 99%

“…Sclerotherapy using OK-432 and various chemocauterization techniques have also been described but carry a risk of collateral injury to surrounding structures. 60,61…”

Section: Introductionmentioning

confidence: 99%

Branchial Cleft Anomalies: Embryogenesis, Clinical Features, Diagnosis, and Management

Prescher

Nathan

Bauer

et al. 2022

FACE

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Branchial cleft anomalies are congenital head and neck lesions that arise from incomplete maturation of the branchial apparatus during fetal development. The branchial arches are the precursors of the face, neck and pharynx, and disturbances in embryogenesis can present clinically as cysts, sinus tracts, and fistulas in predictable anatomic locations. However, there remains controversy regarding the precise embryogenesis of branchial cleft anomalies with several competing theories. These lesions often evade diagnosis in early childhood and may present in a delayed fashion after multiple failed interventions. Various diagnostic modalities have been described to facilitate clinical workup. Definitive treatment is complete surgical excision of the lesion. We present a comprehensive review of the literature along with several illustrative cases that highlight the unique challenges of diagnosis and surgical management of branchial cleft anomalies.

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Chemocauterization of second branchial cleft fistula using trichloroacetic acid: A preliminary report

Cited by 11 publications

References 15 publications

Doxycycline sclerotherapy in paediatric branchial cleft sinus

Doxycycline sclerotherapy in paediatric branchial cleft sinus

Unusual coexistence of first and second branchial fistulas: clinical case and review of the literature

Branchial Cleft Anomalies: Embryogenesis, Clinical Features, Diagnosis, and Management

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