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

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

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Objective: Although second branchial cleft fistula (BCF) can be well treated with surgical excision, neck scarring is unavoidable. We previously reported chemocauterization with trichloroacetic acid (TCA) to close various fistulas. Here, we report chemocauterization of a second BCF without a consequent incision scar. Methods: This procedure was applied in four pediatric patients whose parents were reluctant to undergo surgical excision for a second BCF. Under general anesthesia, a thin metal suction tip or cut down tube was inserted through the skin opening. Normal saline with or without dye was injected to identify the pharyngeal opening around the palatine tonsil, and 75% TCA solution mixed with dye was injected. Leaked TCA at the pharynx was sucked out meticulously to avoid extensive and unexpected injury to the mucosa, and the external opening was sealed with a thin adhesive film. Results: There were no immediate complications and recurrence of a second BCF in all patients during the median follow-up of 23 months (range, 18–88 months) with minimal neck scarring. Conclusion: TCA chemocauterization of second BCF could be a simple, less invasive, and feasible treatment option in pediatric patients.

Original languageEnglish
Pages (from-to)143-146
Number of pages4
JournalAuris Nasus Larynx
Volume45
Issue number1
DOIs
StatePublished - Feb 2018

Keywords

  • Branchial cleft anomalies
  • Fistula
  • Minimally invasive surgical procedures
  • Trichloroacetic acid

Fingerprint

Dive into the research topics of 'Chemocauterization of second branchial cleft fistula using trichloroacetic acid: A preliminary report'. Together they form a unique fingerprint.

Cite this