Skip to main content

Advertisement

SpringerLink
Log in

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

  • Case Report
  • Published:
Journal of Robotic Surgery Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

References

  1. Gourin CG, Johnson JT (2000) Incidence of unsuspected metastases in lateral cervical cysts. Laryngoscope 110(10 pt 1):1637–1641

    Article  PubMed  CAS  Google Scholar 

  2. McLeod IK, Melder PC (2005) Da Vinci robot-assisted excision of a vallecular cyst: a case report. Ear Nose Throat J 84(3):170–172

    PubMed  Google Scholar 

  3. Chitwood WR Jr et al (2001) Surgical training in an academic institution. Ann Surg 234(4):475–486

    Article  PubMed  Google Scholar 

  4. Holsinger FC et al (2005) Transoral lateral oropharyngectomy for squamous cell carcinoma of the tonsillar region: I. technique, complications, and functional results. Arch Otolaryngol Head Neck Surg 131:583–591

    Article  PubMed  Google Scholar 

  5. Kafif A, Segev Y, Kaplan DM et al (2005) Surgical management of parapharyngeal space tumors: a 10 year review. Otolaryngol Head Neck Surg 132:401–406

    Article  Google Scholar 

  6. Maran AGD, Mackenzie J, Murray JAM (1984) The parapharyngeal space. J Laryngol Otol 98:371–380

    Article  PubMed  CAS  Google Scholar 

  7. Smith JF, Kielmovitch I (1989) Branchial cleft anomaly in a newborn. Otolaryngol Head Neck Surg 100:163–165

    PubMed  CAS  Google Scholar 

  8. Chandler JR, Mitchell B (1981) Branchial cleft cysts, sinuses, and fistulas. Otolaryngol Clin North Am 14:175–186

    PubMed  CAS  Google Scholar 

  9. Choo M-J, Kim Y-J, Jin H-R (2002) A case of second branchial cleft cyst with oropharyngeal presentation. J Korean Med Sci 17:564–566

    PubMed  Google Scholar 

  10. Bailey H (1933) The clinical aspects of branchial cysts. Br J Surg 10:173–182

    Article  Google Scholar 

  11. Proctor B (1955) Lateral vestigial cysts and fistulas of the neck. Laryngoscope 65:355–401

    Article  PubMed  CAS  Google Scholar 

  12. Paczona R, Czigner JJ (1998) Pharyngeal localizations of branchial cysts. Eur Arch Otolaryngol 255:379–381

    Article  CAS  Google Scholar 

  13. O’Malley BW Jr, Weinstein GS, Snyder W, Hockstein NG (2006) Transoral robotic surgery (TORS) for base of tongue neoplasms. Laryngoscope 116:1465–1472

    Article  PubMed  Google Scholar 

  14. Weinstein GS, O’Malley BW Jr, Snyder W, Sherman E, Quon H (2007) Transoral robotic surgery: radical tonsillectomy. Arch Otolaryngol Head Neck Surg 133:1220–1226

    Article  PubMed  Google Scholar 

  15. Goldenberg D, Ondik MP (2010) DaVinci robot-assisted transcervical excision of a parapharyngeal space tumor. J Robotic Surg 4(3):197–199

    Article  Google Scholar 

  16. Genden EM, Desai S, Sung C-K (2009) Transoral robotic surgery for the management of head and neck cancer: a preliminary experience. Head Neck 31:283–289

    Article  PubMed  Google Scholar 

  17. Weinstein GS, O’ Malley BW, Snyder W Jr et al (2007) Transoral robotic surgery: supraglottic partial laryngectomy. Ann Otol Rhinol Laryngol 116:19–23

    PubMed  Google Scholar 

Download references

Acknowledgments

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

None.

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.

Author information

Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital, University of Adelaide, Adelaide, SA, 5000, Australia

    S. Vidhyadharan, S. Krishnan & G. King

  2. Department of Otolaryngology, Head and Neck Surgery, Flinders Medical Centre, Flinders University, Bedford Park, SA, 5042, Australia

    A. Morley

Authors
  1. S. Vidhyadharan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Krishnan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. King
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. Morley
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Krishnan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vidhyadharan, S., Krishnan, S., King, G. et al. Transoral robotic surgery for removal of a second branchial arch cyst: a case report. J Robotic Surg 6, 349–353 (2012). https://doi.org/10.1007/s11701-011-0331-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11701-011-0331-2

Keywords

Search

Navigation