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2012 | 84 | 11 | 547-550
Article title

Diagnosis and Treatment of Cervical Branchial Cleft Cysts Based on the Material from the Department of Cranio-Maxillofacial Surgery, Medical University in Łódź and Literature Review

Content
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Languages of publication
EN
Abstracts
EN
Cervical branchial cleft cysts are relatively common tumors of the neck that should be distinguished from an epidermoid cyst, hygroma, hemangioma, lymphangioma, lymphadenitis, and metastatic papillary carcinoma of the thyroid gland. Infected cysts might be misdiagnosed as a recurrent abscess.The aim of the study was to present current views concerning diagnosis and treatment of cervical branchial cleft cysts.Material and methods. Data and histopathological results obtained from 49 patients (18 women and 31 men) admitted to the Department of Cranio-Maxillofacial Surgery, due to lateral cervical cysts during the period between 2005 and 2009 were subject to retrospective analysis.Results. Most patients were in their third decade of life. The clinical examination showed a painless, slowly growing tumor on the lateral surface of the neck, more often on the right side, and in 30 cases with a concomitant infection. Initial diagnosis on the basis of the clinical examination, radiology and biopsy was confirmed in 48/49 cases (98%). All patients were subject to surgical treatment. During the 3 to 7 year follow-up period recurrence was not observed.Conclusions. Initial diagnosis of a cervical branchial cleft cyst on the basis of the clinical examination should always be confirmed by means of ultrasonography. In case of suspicion of a coexisting infection, fine-needle aspiration biopsy under ultrasound control is recommended. If there is concern that the lateral neck lesion is not a branchial cyst or its dimension is large, computed tomography of the neck or magnetic resonance should be performed. Complete excision of the tumor under general anesthesia is the treatment of choice, being associated with the low risk of local postoperative complications
Publisher

Year
Volume
84
Issue
11
Pages
547-550
Physical description
Dates
published
1 - 12 - 2012
online
09 - 02 - 2013
Contributors
  • Department of Cranio-Maxillofacial Surgery, Medical University in Łódz
  • Department of Emergency Medicine and Disaster Medicine, Medical University in Łódź
  • Department of Cranio-Maxillofacial Surgery, Medical University in Łódz
References
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  • 2. Agaton-Bonilla FC, Gay-Escoda C: Diagnosis and treatment of branchial cleft cysts and fistulae. A retrospective study of 183 patients. Int J OralMaxillofac Surg 1996; 25: 449-52.
  • 3. Papadogeorgakis N, Petsinis V, Parara E et al.: Branchial cleft cysts in adults. Diagnostic procedure and treatment in a series of 18 cases. Oral MaxillofacSurg 2009; 13 (2); 79-85.
  • 4. Bilski J, Krakowski R, Chrapusta-Klimeczek A: Wrodzone torbiele i przetoki szyi. Pol Przegl Chir 1998; 70 (12): 1287-92.
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  • 7. Brook I: Microbiology and management of infected neck cysts. J Oral Maxillofac Surg 2005; 63: 392-95.[PubMed]
  • 8. Zajkowski P, PiórkowskaK, Postolski M: Ocena wyników badania ultrasonograficznego u chorych z torbielami bocznymi i środkowymi szyi. UltrasonogrPol 1996; 6(1): 81-86.
  • 9. Guerrissi JO: Endoscopic resection of cervical congenital cysts. Operative techniques in otolaryngology 2008; 19: 258-62.
  • 10. Jurkiewicz-Łobodzińska M: Tonsilektomia jako postępowanie rutynowe w przypadkach raka torbieli bocznej. Otolaryngol Pol 2000; 54(1): 33-36.
  • 11. Sobczyk G, Kiprian D, Pietniczka-Zaleska M,Krajewski R: Rak w obrębie torbieli bocznej szyiproces pierwotny czy przerzut? Otolaryngol Pol 2004; 58(3): 505-08.
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-012-0091-3
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