Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

양성 두경부 낭종성 병변에 대한 경화치료의 효과 분석

홍재형1, 김홍중1, 홍종의1, 장철1, 이창호1, 심상열1, 김상흠2, 유찬기1,*
Jae Hyung Hong1, Hong Joong Kim1, Jong Eui Hong1, Chol Chang1, Chang Ho Lee1, Sang Yul Shim1, Sang Heum Kim2, Chan Kee Yoo1,*
1포천중문의과대학교 의학전문대학원 분당차병원 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, Bundang CHA Hospital, Seongnam, Korea
2Radiology, School of Medicine, Pochon CHA University, Bundang CHA Hospital, Seongnam, Korea
*교신저자: 유찬기, 463-712 경기도 성남시 분당구 야탑동 351 포천중문의 과대 학교 의 학전문대 학원 분당차병 원 이 비 인후과학교실 전화: (031) 780-5345· 전송: (031) 780-5347· E-mail:

© Copyright 2009 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Feb 04, 2009; Revised: Mar 31, 2009; Accepted: Apr 20, 2009

Published Online: May 31, 2020


Background and Objectives: Surgical excision has been accepted as the definite treatment for benign cystic lesions of the head and neck. However, surgery has morbidities associated with technical difficulties and frequent recurrences due to incomplete excision. In this study, we evaluated the efficacy of sclerotherapy using OK- 432 and alcohol for several benign cystic lesions. Materials and Methods: Retrospective reviews were performed for 37 patients who had undergone sclerotherapy with OK-432 or 99% alcohol for benign cystic lesions (14 thyroid cysts, 16 ranulas including 5 plunging ranulas, 5 mucoceles, 1 lymphangioma, and 1 thy- roglossal duct cyst). Information was gathered with respect to age, sex, sclerosant, size of cyst, number of injection, duration of follow-up, treatment outcome and recurrence. Results: Overall, 29 patients (78.4%) showed complete or marked response (13 thyroid cysts, 11 ranulas including 4 plunging ranulas, 3 mucoceles, 1 lymphangioma, and 1 thyroglossal duct cyst) . There were no significant differences in treatment outcome according to clinical diagnosis but, thyroid cyst showed better response than ranula. Ranula was related more frequent injections and recurrences than thyroid cyst. Conclusion: Sclerotherapy is an effective primary treatment for benign head and neck cystic lesions, especially for thyroid cysts. For the treatment of ranula, sclerotherapy can be used primarily but surgical treatment including sublingual gland excision is recommended for patients with repeated recurrences after two or three consecutive sclerotherapy. (J Clinical Otolaryngol 2009;20:40–48)

Keywords: 하마종; 갑상선 낭종; 경화치료
Keywords: Ranula; Thyroid cysts; Sclerotherapy