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See Latest ArticlesManagement of congenital fourth branchial arch anomalies: a review and analysis of published cases
Journal of Pediatric Surgery, 07/13/09
Nicoucar K et al. - Fourth arch anomalies are more common than once thought. Treatment of these disorders with repeated incision and drainage yields high rates of recurrence; thus, complete excision of the entire fistula tract during a quiescent period appears preferable. Combining this surgery with partial thyroidectomy may further decrease recurrence rates. Complications can likely be minimized by using antibiotic treatment of acute infections or endoscopic cauterization in children 8 years or younger, and delaying open neck surgery.
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