Endoscopically-Associated Hairline Approach to Excision of Second Branchial Cleft Cysts
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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.
KeywordsSecond 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.
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.
- 1.Zaitseva MA (2016) Clinics, diagnostics and treatment of patients for neoplasms in pharyngeal and parapharyngeal region, Odessa. Dissertation text. UDC [616.22 + 616.327]-006.6-07-089Google Scholar
- 6.Timofeev AA (2012) Guidelines on maxillofacial surgery and dental surgery, 5th edn. Chervona Ruta-Turs, Kiev (revised and edited) Google Scholar
- 8.Sinha D, Utture SK (2014) Branchial cysts: a case report of a benign lymphoepithelial cyst in the Neck with review of literature. Bombay Hosp J 43(3)Google Scholar
- 10.Solntsev AM, Kolesov VS (1982) Cysts in maxillofacial region and in the neck. Zdorovie, Kiev, pp 104–111Google Scholar
- 11.Timofeev AA, Fesenko EI, Zarinskaya VI, Cherniyak OS (2016) Peculiarities of diagnostics, clinical progressing and lateral neck. Mod Dent 3:82–89Google Scholar
- 17.Balin VN, Aleksandrov NM (2005) Clinical operative maxillofacial surgery, guidelines for surgeons. SpetsLit, Saint PetersburgGoogle Scholar
- 25.Nikiforova GS (2006) Practical tasks on psychological health. SPb., PiterGoogle Scholar
- 27.http://www.findpatent.ru/patent/262/2625283.html. Accessed 14 March 2018