scholarly journals Branchial Cysts in Quito, Ecuador

2020 ◽  
Vol 24 (03) ◽  
pp. e347-e350
Author(s):  
Luis Pacheco-Ojeda ◽  
Andrés Ayala-Ochoa ◽  
Karla Salvador
Keyword(s):  
General Hospital ◽  
Surgical Resection ◽  
Adult Population ◽  
Tertiary Care ◽  
Surgical Excision ◽  
Branchial Cleft Cyst ◽  
Complete Surgical Excision ◽  
Branchial Cleft ◽  
Lower Neck ◽  
Clinical Records

Introduction Branchial cleft anomalies are the second most common congenital anomaly in children. However, some lesions may not develop clinically and are not diagnosed until adulthood. The recent literature of branchial cysts (BCs) in the adult population is really scanty. For this reason, we analyzed the clinical and surgical management of the adult population treated for a BC at a tertiary care general hospital. Methods A retrospective review of the clinical records of all the patients with histological diagnosis of BC who were surgically treated at the Social Security Hospital in Quito, Ecuador, was performed. Fifty-one patients (27 women) with congenital anomalies of the 2nd (43 patients with cysts) and 3rd (6 patients with cysts and 2 with fistula) branchial arches were diagnosed and treated. Diagnosis was made on clinical grounds and by computed tomography scan. Results The 43 patients with a 2nd branchial cleft cyst underwent complete surgical excision through a wide mid-neck transverse cervicotomy. The 6 cases of 3rd branchial cleft cyst underwent surgical resection through a lower-neck transverse incision, and the 2 patients with clinical fistula in the lower aspect of the neck were operated on via an elliptical incision around this external fistula opening. Postoperative evolution was uneventful in all patients. Conclusions Branchial cysts can occasionally be diagnosed in adult patients in the setting of a general hospital population. A correct clinical and imaging assessment was diagnostic in most patients. Complete surgical resection was curative in all our patients, and postoperative complications were exceptional.

scholarly journals Type III Second Branchial Cleft Cyst

2012 ◽  
Vol 3 (2) ◽  
pp. 112-114
Author(s):  
Priti Rakesh Dhoke ◽  
Sonali Prabhakar Khadakkar ◽  
Kanchan Sandeep Dhote ◽  
Samir Vijay Choudhary ◽  
Vivek Vishwas Harkare ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Surgical Excision ◽  
Cervical Region ◽  
External Carotid ◽  
Branchial Cleft Cyst ◽  
Tissue Mass ◽  
Type Iii ◽  
Complete Surgical Excision ◽  
Second Branchial Cleft Cyst ◽  
Branchial Cleft

ABSTRACT Cervical congenital cystic masses constitute an uncommon group of lesions usually diagnosed in infancy and childhood. Branchial cleft cysts are congenital lateral neck masses which manifest in the adolescents or in adulthood. They arise from the remnants of the branchial apparatus of embryonic life. Here, in this case, patient was presented with branchial cleft cyst at the age of 70 years. Computed tomography of neck showed well-circumscribed soft tissue mass extending from parotid region to lower cervical region with small ill-defined extension between internal and external carotid arteries which is pathognomonic of type III second branchial cleft cyst. Complete surgical excision was done. Histopathological examination confirmed the diagnosis of branchial cleft cyst. How to cite this article Choudhary SV, Khadakkar SP, Harkare VV, Dhoke PR, Dhote KS, Kamal NP. Type III Second Branchial Cleft Cyst. Int J Head Neck Surg 2012;3(2):112-114.

scholarly journals BRANCHIAL CLEFT CYST;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Muhammad Arshad ◽  
Umair Ashafaq ◽  
Mohammad Aslam
Keyword(s):  
Head And Neck ◽  
Surgical Excision ◽  
Lateral Part ◽  
Neck Swelling ◽  
Branchial Cleft Cyst ◽  
Recurrence Rates ◽  
Complete Excision ◽  
Duration Of Symptoms ◽  
Complete Surgical Excision ◽  
Branchial Cleft

Background: Branchial cleft cyst is rare congenital anomaly and most common cause of head and neck pathology in children. Second branchial cyst accounts 95 % of the all brnchial anomalies. It mostly manifest in 2nd and 3rd decade of life. Early diagnosis, controlling the infection status and complete excision without nerve injury is mainstay of treatment. Recurrence rates is very low after complete surgical excision. Study Design: Retrospective study. Setting: Department of Otolaryngology, Head and Neck Surgery, Benazir Bhutto Hospital Rawalpindi. Period: 02 year from August 2016 to July 2018. Methods: 04 cases of branchial anomalies. Age, sex, and duration of symptoms were noted from the case records. The side and site of the lesion and the site of opening of sinuses and fistula were noted. The cystic lesions were investigated with ultrasound and CT scan. Surgical excision of cyst and sinus done. Results: The structure of the studied group was as follows: the ratio men/women was of approximately 3/1; the ratio branchial cysts/branchial sinuses/branchial fistulae = 2/2/0.  Age ranged from 16 to 27 years. Two patients presented with left neck swelling and one patient presented with right neck swelling and one with right sided discharging sinus. Complete surgical excision was done in all cases and no complication occured. Conclusion: Branchial cysts are commonly misdiagnosed and rarely included in the differential diagnosis. Physician should suspect in any patient with a swelling in the lateral part of the neck.

Bronchogenic cyst: an unusual cause of lump in the neck

1998 ◽  
Vol 112 (9) ◽  
pp. 893-894 ◽  
Author(s):  
F. Rapado ◽  
J. D. C. Bennett ◽  
J. M. Stringfellow
Keyword(s):  
Paediatric Patient ◽  
Adult Patient ◽  
Bronchogenic Cyst ◽  
Adult Population ◽  
Surgical Excision ◽  
Radiological Imaging ◽  
Benign Lesions ◽  
Complete Surgical Excision ◽  
Bronchogenic Cysts

AbstractBronchogenic cysts are rare congenital benign lesions that are usually detected in the paediatric patient with symptoms of infection or compression on vital structures. They are rarely diagnosed in the adult population. We present a case of bronchogenic cyst presenting as a lump in the neck in an adult patient. Radiological imaging helped to diagnose this lesion accurately before any form of intervention. Complete surgical excision is the treatment of choice.

scholarly journals Spinal osteoid osteoma: Surgical resection and review of literature

2020 ◽  
Vol 11 ◽  
pp. 308
Author(s):  
Abhinandan Reddy Mallepally ◽  
Rajat Mahajan ◽  
Sandesh Pacha ◽  
Tarush Rustagi ◽  
Nandan Marathe ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Osteoid Osteoma ◽  
Surgical Excision ◽  
Presenting Symptoms ◽  
Complete Surgical Excision ◽  
Rare Benign Tumor ◽  
The Common ◽  
Optimal Approach ◽  
Posterior Elements

Background: Osteoid osteoma (OO) is a rare benign tumor of the spine that involves the posterior elements with 75% tumors involving the neural arch. The common presenting symptoms include back pain, deformity like scoliosis, and rarely radiculopathy. Methods: From 2011 to 2017, we evaluated cases of OO managed by posterior surgical resection while also reviewing the appropriate literature. Results: We assessed five patients (three males and two females) averaging 36.60 years of age diagnosed with spinal OOs. Two involved the lumbar posterior elements, two were thoracic, and one was in the C3 lateral mass. All patients underwent histopathological confirmation of OO. They were managed by posterior surgical resection with/without stabilization. No lesions recurred over the minimum follow-up period of 24 months. Conclusion: Surgical excision is the optimal treatment modality for treating spinal OOs. The five patients in this study demonstrated good functional outcomes without recurrences. Further, the literature confirms that the optimal approach to these tumors is complete surgical excision with/without radiofrequency ablation.

Branchial Cleft Anomalies: Embryogenesis, Clinical Features, Diagnosis, and Management

FACE ◽  
2022 ◽  
pp. 273250162110722
Author(s):  
Hannes Prescher ◽  
Shelby L. Nathan ◽  
Bruce S. Bauer ◽  
Russell R. Reid
Keyword(s):  
Surgical Excision ◽  
Definitive Treatment ◽  
Review Of The Literature ◽  
Complete Surgical Excision ◽  
Branchial Arches ◽  
Branchial Cleft Anomalies ◽  
The Face ◽  
Branchial Cleft ◽  
Diagnostic Modalities ◽  
Anatomic Locations

Branchial cleft anomalies are congenital head and neck lesions that arise from incomplete maturation of the branchial apparatus during fetal development. The branchial arches are the precursors of the face, neck and pharynx, and disturbances in embryogenesis can present clinically as cysts, sinus tracts, and fistulas in predictable anatomic locations. However, there remains controversy regarding the precise embryogenesis of branchial cleft anomalies with several competing theories. These lesions often evade diagnosis in early childhood and may present in a delayed fashion after multiple failed interventions. Various diagnostic modalities have been described to facilitate clinical workup. Definitive treatment is complete surgical excision of the lesion. We present a comprehensive review of the literature along with several illustrative cases that highlight the unique challenges of diagnosis and surgical management of branchial cleft anomalies.

scholarly journals Cervical thymic cyst in adult: a rare entity

2019 ◽  
Vol 5 (4) ◽  
pp. 1088
Author(s):  
Rohaizam Bin Japar Jaafar ◽  
Glen Johannes Franciscus Kemps ◽  
Ing Bing Tan ◽  
Alida Annechien Postma
Keyword(s):  
Surgical Excision ◽  
Neck Mass ◽  
Thymic Cyst ◽  
Rare Entity ◽  
Lateral Neck ◽  
Adult Onset ◽  
Branchial Cleft Cyst ◽  
Thymic Cysts ◽  
Branchial Cleft ◽  
Lateral Neck Swelling

<p>Cervical thymic cysts in adults are rare and seldom diagnosed preoperatively as it may mimic other cystic cervical swellings like a branchial cleft cyst. We present our first encounter with an adult-onset cervical thymic cyst presenting as a lateral neck mass as the sole symptom. Clinical, radiological and cytological evaluations are excellent tools to approach and assess cervical thymic cysts. Histopatholgical examination is the only mean to provide a definitive diagnosis. Adult-onset cervical thymic cyst is a rare entity but should be included in the differential diagnosis for lateral neck swelling. Surgical excision is both diagnostic and therapeutic, once malignancy has been exluded.</p>

scholarly journals A series Cases study of Carcinomas derived from myoepithelial cells in head and neck regions

2020 ◽  
Author(s):  
Danni Cheng ◽  
Yufang Rao ◽  
Ke Qiu ◽  
Jianqing Qiu ◽  
Yijun Dong ◽  
...  
Keyword(s):  
Head And Neck ◽  
Surgical Resection ◽  
Postoperative Radiotherapy ◽  
Surgical Excision ◽  
Myoepithelial Cells ◽  
Single Institution ◽  
Complete Surgical Excision ◽  
The Mean ◽  
Systemic Therapies

Abstract Background and Objectives: Carcinomas derived from myoepithelial cells in head and neck regions (CMCHN) are rare. The aim of this study was to demonstrate the clinical behaviors and treatment outcomes of these tumors.Methods: A retrospective review of fifteen CMCHN cases between 2002 and 2019 in a single institution was performed. Results: All of the fifteen patients (100%) underwent primary surgical resection. Eleven patients (73.3%) received conventional postoperative radiotherapy and four (26.7%) received systemic chemotherapy. Consequently, six patients (40%) had frequently recurrence after surgical resection, and seven patients (46.7%) received second or even third operations. Up to the time of last follow-up, only one patient died and the mean survival time was 15.8 years.Conclusions: Currently, complete surgical excision with or without systemic therapy is preferred, but it has limited efficacy on reducing the risk of recurrence. Thus, more effective systemic therapies are required and the researches on the mechanism of CMCHN recurrence should be encouraged.

Radiological appearance of primary branchial cleft cyst carcinoma

1999 ◽  
Vol 113 (11) ◽  
pp. 1031-1033 ◽  
Author(s):  
Ki Hwan Hong ◽  
Woo Sung Moon ◽  
Gyung Ho Chung
Keyword(s):  
Radiation Therapy ◽  
English Literature ◽  
Radical Neck Dissection ◽  
Surgical Excision ◽  
Sufficient Evidence ◽  
Branchial Cleft Cyst ◽  
Cervical Lymph Nodes ◽  
Radiological Study ◽  
Radiological Appearance ◽  
Branchial Cleft

AbstractThe hypothesis that primary branchiogenic carcinoma originates from a branchial cleft cyst is controversial. Many reports regarding primary branchiogenic carcinoma failed to provide sufficient evidence to distinguish it from metastatic cervical lymph nodes arising from previously unrecognized primary tumours. The radiological appearance of malignant transformation from a branchial cleft cyst has not been reported previously in the English literature. A radiological study is presented that confirms the primary branchiogenic carcinoma. The management in suspected cases would be wide surgical excision of the tumour including ipsilateral radical neck dissection followed by radiation therapy.

Surgical resection of intramedullary spinal cord cavernous malformations

1993 ◽  
Vol 78 (3) ◽  
pp. 446-451 ◽  
Author(s):  
John A. Anson ◽  
Robert F. Spetzler
Keyword(s):  
Spinal Cord ◽  
Surgical Resection ◽  
Vascular Malformations ◽  
Surgical Excision ◽  
Vascular Lesions ◽  
Complete Relief ◽  
Intramedullary Spinal Cord ◽  
Cavernous Malformations ◽  
Excellent Outcome ◽  
Complete Surgical Excision

✓ Cavernous malformations are being increasingly well recognized throughout the central nervous system, where they compose approximately 1% of all vascular lesions and 15% of all vascular malformations. These malformations are uncommon in the spinal column and rarely found within the spinal cord. There have been only a few isolated reports of surgical resection of intramedullary spinal cord cavernous malformations. A series of six patients with intramedullary spinal cord cavernous malformations is described; all were treated by complete surgical excision, and all had a good or excellent outcome with partial or complete relief of neurological symptoms. There were no surgical complications, although transient postoperative neurological worsening was common. The clinical, radiological, and surgical features of these patients are discussed. It is concluded that intramedullary spinal cord cavernous malformations are an uncommon cause of progressive myelopathy that can be safely and effectively treated by surgical excision.

scholarly journals Unusual Isolated Parapharyngeal Second Branchial Cleft Cyst: A Case Report and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Emad A. Magdy ◽  
Geylan A. Fadali ◽  
Mahmoud Seif-Elnasr ◽  
Mohamed F. Fathalla
Keyword(s):  
World Literature ◽  
Parapharyngeal Space ◽  
Case Reports ◽  
Correct Diagnosis ◽  
Management Strategies ◽  
Surgical Excision ◽  
Transcervical Approach ◽  
Presenting Symptoms ◽  
Complete Surgical Excision ◽  
Branchial Cleft

Second branchial cleft cysts (BCCs) are common congenital causes of neck swellings; however, isolated parapharyngeal space presentation is extremely rare, with only sporadic cases reported. Our objectives in this report are to describe a case and review different diagnostic and management strategies adopted in the current world literature. The case presented is a 26-year-old female with a large isolated parapharyngeal BCC extending to skull base in which first presenting symptoms were referred otalgia and painful side-to-side head rotation for months followed by odynophagia. A previously ordered computed tomography (CT) scan suspected a parapharyngeal abscess. Correct diagnosis was preoperatively achieved using magnetic resonance imaging (MRI) showing a 3.1 × 3.4 × 5.4 cm parapharyngeal BCC. Cyst was completely surgically excised transoral without complications. No evidence of recurrence has been noted after 24-month follow-up. A comprehensive world literature search for all reported cases in the last 30-years revealed thirty cases in 23 separate case reports with different diagnostic and surgical modalities adopted. Presentation and management strategies in such rare cases are discussed in detail. Our study shows that although rare, BCC diagnosis should be kept in mind while dealing with isolated parapharyngeal space swellings with MRI being key for successful preoperative diagnosis. If encountered, the transoral route can be a safe, aesthetically pleasing and effective way for complete surgical excision in contrast to most other parapharyngeal swellings, which are usually better excised via a transcervical approach.

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