title: [Retrospective analysis of the treatment of recurrent congenital fistula or cyst in lateral cervical part].
abstract: OBJECTIVE
  To analysis the therapeutic procedure on the recurrent congenital fistula or cyst in lateral cervical part.
  
  
  METHODS
  Thirty-nine cases with recurrent congenital fistula or cyst in lateral cervical part were enrolled in this study including 12 cases from the first branchial cleft, 6 from the second branchial cleft and 21 from the third branchial cleft.
  
  
  RESULTS
  All the cases underwent fistula or cyst excision for 2 to 5 times in their whole therapeutic process, not counting the incision and drainage. During 9 months to 17 years follow-up, fistula or cyst in 6 cases relapsed,including 1 fistula from the first branchial cleft,3 fistulae from the second branchial cleft, 1 fistula and 1 cyst from the third branchial cleft, respectively. One case with recurrent fistula from the first branchial cleft was diagnosed temporal verrucous carcinoma six months after the third fistula excision operation and died one year after the forth operation probably due to the intracranial metastasis of temporal bone verrucous carcinoma. In two cases, the fistulae went through the thyroid gland to the piriform fossa and both the fistulae and part of the thyroid glands were resected. In the patients whose inner orificium fistulae were found and ligated effectively,no recurrence occurred during the followed-up period.
  
  
  CONCLUSIONS
  The key point to cure the recurrent congenital fistula or cyst in lateral cervical part lies in proper occasion of operation, stain tracing in operation and reasonable program of operation.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, PLA General Hospital, Beijing, 100853, China.
authors.forename: Yongyi
authors.initials: Y
authors.lastname: Yuan
authors.forename: Guozheng
authors.initials: G
authors.lastname: Zhang
authors.forename: Guojian
authors.initials: G
authors.lastname: Wang
authors.forename: Deliang
authors.initials: D
authors.lastname: Huang
authors.forename: Liangfa
authors.initials: L
authors.lastname: Liu
authors.forename: Wenming
authors.initials: W
authors.lastname: Wu
authors.forename: Jialing
authors.initials: J
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001935:Branchioma / Q000151:congenital / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005402:Fistula / Q000151:congenital / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D055815:Young Adult