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      OK-432와 99% Alcohol을 이용한 양성 경부 낭종의 경화치료 효과 = The Effectiveness of the Sclerotherapy of Benign Neck Cystwith the Use of OK-432 and 99% Alcohol

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      https://www.riss.kr/link?id=A101610112

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      Background and Objectives:In most cases of benign neck cysts, surgical excision has been considered the definite treatment.However, it is difficult to excise cysts completely in some cases. In view of this, non-surgical treatment for these lesions has been attempted with sclerosing agents. Some authors presented case reports on using OK-432 or 99% Alcohol sclerotherapy. In this study, we compared OK-432 and 99% Alcohol sclerotherapy with regards to effectiveness and complications associated in treating benign neck cyst. Subjects and Method:We retrospectively reviewed 29 patients who had undergone sclerotherapy with OK- 432 or 99% Alcohol for benign neck cyst, such as ranula, lymphangioma, thyroglossal duct cyst and branchial cleft cyst. Information was gathered with respect to age, sex, number of injections, post-sclerotherapy side effects and outcome of treatments. Result:In the OK-432 sclerotherapy, 16 patients (69.6%) showed complete response, and 5 patients (20.7%) showed intermediate response. No response was seen in 2 patients (9.7%). In the 99% Alcohol sclerotherapy, 5 patients (83.3%) showed complete response, and 1 patient (16.7%) showed intermediate response. The side effects observed from intracystic injection therapy with OK-432 and 99% Alcohol were fever (55.2%) and localized pain (44.8%). In the OK-432 sclerotherapy, 18 patients (78.3%) had complications, In the 99% Alcohol, 3 patients (50%) had complications. However, these complications spontaneously disappeared after several days in all the cases. Conclusion:The results showed that OK-432 and 99% Alcohol injection is an effective and safe treatment for benign neck cyst. The effectiveness of OK-432 and 99% Alcohol injection is very similar.
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      Background and Objectives:In most cases of benign neck cysts, surgical excision has been considered the definite treatment.However, it is difficult to excise cysts completely in some cases. In view of this, non-surgical treatment for these lesions h...

      Background and Objectives:In most cases of benign neck cysts, surgical excision has been considered the definite treatment.However, it is difficult to excise cysts completely in some cases. In view of this, non-surgical treatment for these lesions has been attempted with sclerosing agents. Some authors presented case reports on using OK-432 or 99% Alcohol sclerotherapy. In this study, we compared OK-432 and 99% Alcohol sclerotherapy with regards to effectiveness and complications associated in treating benign neck cyst. Subjects and Method:We retrospectively reviewed 29 patients who had undergone sclerotherapy with OK- 432 or 99% Alcohol for benign neck cyst, such as ranula, lymphangioma, thyroglossal duct cyst and branchial cleft cyst. Information was gathered with respect to age, sex, number of injections, post-sclerotherapy side effects and outcome of treatments. Result:In the OK-432 sclerotherapy, 16 patients (69.6%) showed complete response, and 5 patients (20.7%) showed intermediate response. No response was seen in 2 patients (9.7%). In the 99% Alcohol sclerotherapy, 5 patients (83.3%) showed complete response, and 1 patient (16.7%) showed intermediate response. The side effects observed from intracystic injection therapy with OK-432 and 99% Alcohol were fever (55.2%) and localized pain (44.8%). In the OK-432 sclerotherapy, 18 patients (78.3%) had complications, In the 99% Alcohol, 3 patients (50%) had complications. However, these complications spontaneously disappeared after several days in all the cases. Conclusion:The results showed that OK-432 and 99% Alcohol injection is an effective and safe treatment for benign neck cyst. The effectiveness of OK-432 and 99% Alcohol injection is very similar.

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      참고문헌 (Reference)

      1 "Vagaries of thyroglossal duct cyst" 98 : 740-2, 1988

      2 "Treatment of ranula withintracystic injection of the streptococcal preparation OK-432" 112 : 214-20, 2003

      3 "Treatment of lymphangiomas of thehead and neck in children by intralesional injection of OK-432" 130-4, 2000

      4 "Thyroglossal duct cyst" 42 : 665-8, Physician1990

      5 "The effect of the sclerotherapy of plungingranula with the use of picibanil" 47 : 1278-81, 2004

      6 "Surgical management of the plungingranula:A review of seven cases" 110 : 554-6, 1996

      7 "Squamous cell carcinoma arising in a second branchialcleft cyst" 27 : 96-100, 2004

      8 "Renal cyst:Treatment with alcohol" 138 : 329-31, 1981

      9 "Recurrent plunging ranula treated withOK-432" 260 : 226-8, 2003

      10 "Ranulas and their mimics:CT evaluation" 163 : 211-6, 1987

      1 "Vagaries of thyroglossal duct cyst" 98 : 740-2, 1988

      2 "Treatment of ranula withintracystic injection of the streptococcal preparation OK-432" 112 : 214-20, 2003

      3 "Treatment of lymphangiomas of thehead and neck in children by intralesional injection of OK-432" 130-4, 2000

      4 "Thyroglossal duct cyst" 42 : 665-8, Physician1990

      5 "The effect of the sclerotherapy of plungingranula with the use of picibanil" 47 : 1278-81, 2004

      6 "Surgical management of the plungingranula:A review of seven cases" 110 : 554-6, 1996

      7 "Squamous cell carcinoma arising in a second branchialcleft cyst" 27 : 96-100, 2004

      8 "Renal cyst:Treatment with alcohol" 138 : 329-31, 1981

      9 "Recurrent plunging ranula treated withOK-432" 260 : 226-8, 2003

      10 "Ranulas and their mimics:CT evaluation" 163 : 211-6, 1987

      11 "Plungingranula" 57 : 408-12, 1984

      12 "Plunging ranula:Clinical observations" 20 : 63-8, 1998

      13 "OK-432 therapy of lymphangiomain children" 155 : 649-52, 1996

      14 "OK-432 therapy for lymphangioma" 122 : 1195-9, Surg1996

      15 "Localinjection of OK-432 in the treatment of ranula:A case report" 81 : 97-8, 2002

      16 "Intraccystic injection of OK-432:A new sclerosing therapy for cystic hygroma in children" 74 : 690-1, 1987

      17 "Ethanol injection sclerotherapy for Bakers cyst" 615-9,

      18 "Cystic hygroma of the neck" 17 : 225-44, 1964

      19 "CT scanning of the plunging ranula.Case report" 63 : 38-42, 1997

      20 "A case of the treatment of acystic hygroma with the use of picibanil" 44 : 1346-9, 2001

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