Endoscopically-Associated Hairline Approach to Excision of Second Branchial Cleft Cysts

  • Andrei I. IaremenkoEmail author
  • Tatiana E. Kolegova
  • Olga L. Sharova
Original Article


To improve the treatment outcome and post-operation rehabilitation of patients with second branchial cleft cysts (SBCC), 46 patients were operated for SBCC. 22 patients were operated by conventional approach, 22 patients were operated by original occipital hairline approach and 2 patients were operated via axillary approach. Assessment of intra-operation and post-operation complications was done and comparative evaluation of the preparations of the morphological structure in the main and reference group I was conducted. Clinical psychological assessment was performed in the post-operation period. Based on the clinical criteria and morphological method, the authors made conclusions on the benefits of the proposed approach to the excision of SBCC and determined indications and contraindications to endoscopically-associated surgery via the proposed approach. Comparative analysis of beneficial outcome clinically significant criteria of the conventional, axillary and proposed original approaches showed differences in the following criteria: “average operation time”, “average wound dressing duration”, “average duration of hospitalization” and “subjective satisfaction with incision scar”. There were no differences revealed in the criteria “average incision length”. The proposed approach allowed the authors to shorten the treatment duration and to accelerate the patients port-operation recovery. Due to the proposed approach, the incision opened the fascial layer where the cyst was located. The dissection was performed along the hairline and did not involve upper and lower located layers. Minimal surgery traumatic rate of the proposed approach was proved by the morphological studies.


Second branchial cleft cysts Lateral cervical cysts Tumor of the neck Endoscopically-associated surgery Robot-assisted surgery Retroauricular approach Morphology 



The authors are thankful to the company “Johnson & Johnson LLC”, Department of General Surgery at the Pavlov First Saint Petersburg State Medical University, Department of General and Clinical Psychology at the Pavlov First Saint Petersburg State Medical University.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Standards

The present study was approved by local ethical committee of Pavlov First Saint Petersburg State Medical University. It was conducted in compliance with GCP. The authors obtained written informed consent from all the patients whose pictures are shown in the article.


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Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial SurgeryPavlov First Saint Petersburg State Medical UniversitySaint PetersburgRussian Federation
  2. 2.Clinics of Maxillofacial SurgeryPavlov First Saint Petersburg State Medical UniversitySaint PetersburgRussian Federation
  3. 3.National Center for Clinical Morphological Diagnostics, LlcSaint PetersburgRussian Federation

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