Journal of Robotic Surgery

, Volume 6, Issue 4, pp 349–353 | Cite as

Transoral robotic surgery for removal of a second branchial arch cyst: a case report

Case Report


Second branchial arch cysts are a common cause of cystic neck mass in adults. The type-IV variant of the second branchial arch cyst is uncommon and presents as a parapharyngeal space mass. It lies medial to the carotid sheath and it is not easily amenable to access by the traditional, trans-cervical approach to the parapharyngeal space. Trans-oral robotic surgery is a new application of the da Vinci robotic surgical system (Intuitive Surgical, Sunnyvale, CA, USA). The system has only recently been approved by the FDA for trans-oral robotic resection of oropharyngeal cancers. The technology has since been used for new trans-oral applications, including resection of parapharyngeal space tumours. This is a case report of successful trans-oral robotic resection of a type IV second branchial arch cyst in the parapharyngeal space.


Branchial arch cysts Parapharyngeal space Trans-oral robotic surgery 



We would like to thank the Nurse Assistants in the Robotic Theatres (Julie Bowd and Thembelihle Mazeka) and Operative Room Nurses of the Department of Otolaryngology, Head, and Neck Surgery at The Royal Adelaide Hospital. We especially would like to acknowledge Dr. Mallina Sivarajasingam for her assistance in publishing this case report.

Conflict of interest


Consent section

Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.


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Copyright information

© Springer-Verlag London Ltd 2012

Authors and Affiliations

  • S. Vidhyadharan
    • 1
  • S. Krishnan
    • 1
  • G. King
    • 1
  • A. Morley
    • 2
  1. 1.Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide HospitalUniversity of AdelaideAdelaideAustralia
  2. 2.Department of Otolaryngology, Head and Neck Surgery, Flinders Medical CentreFlinders UniversityBedford ParkAustralia

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