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L Chen - One of the best experts on this subject based on the ideXlab platform.

  • a comparison between endoscopic assisted second Branchial Cleft Cyst resection via retroauricular hairline approach and conventional second Branchial Cleft Cyst resection
    Journal of clinical otorhinolaryngology head and neck surgery, 2013
    Co-Authors: L Chen, Xiaoming Huang, Xiaonin Lou, Siyi Xhang, Xinhan Song
    Abstract:

    OBJECTIVE To assess the feasibility, risks and advantages of endoscope-assisted second Branchial Cleft Cyst (SBCC) resection via the retroauricular hairline approach (RHA) by comparing with conventional trans cervical approach. METHOD Using prospective clinical controlled study, in twenty five patients with SBCC, 13 cases underwent endoscope-assisted resection via the RHA, 12 cases underwent conventional transcervical approach resection. Preoperatively, the sizes, locations and adjacency of all lesions were evaluated by ultrasonography, CT or MRI. Pathologic diagnoses of all cases were identified as SBCC using fine needle aspiration biopsy. Two groups were compared at length of incision, operation time, bleeding, incision cosmetic result, complication etc. RESULT All 25 operations were successfully performed. Length of incision and operation time in endoscopic group were significantly longer than that of the transcervical group (P < 0.05). After three months, the mean subjective satisfaction score of incision scar in the endoscopic group was significantly higher than that of transcervical group (P < 0.01). In endoscopic group, 1 cases (7.7%) with temporary numbness of earlobe and 1 case (7.7%) with a darkened color change of the flap margin at the incision angle were found postoperatively. However, they were recovered within 1 month. All the 25 patients were disease free with a follow-up from 18 to 36 months (median follow-up: 26 months). CONCLUSION Endoscope-assisted SBCC resection via RHA is feasible and safe for the treatment of SBCC. In comparison with the transcervical approach, this method can provide an invisible incision and better cosmetic re suits without significant complications.

  • endoscope assisted versus conventional second Branchial Cleft Cyst resection
    Surgical Endoscopy and Other Interventional Techniques, 2012
    Co-Authors: L Chen, Wei Sun, Siyi Zhang, Xiaoning Luo, Jian-dong Zhan, Xiaoming Huang
    Abstract:

    This study evaluates the feasibility of endoscope-assisted second Branchial Cleft Cyst resection via retroauricular approach by comparing it with conventional cervical incision for removal of second Branchial Cleft Cyst. From January 2009 to December 2010, 25 patients were randomly assigned to the endoscope-assisted surgery group (13 patients) or the conventional surgery group (12 patients). The clinical characteristics of patients, operation time, operative bleeding volume, postoperative complications, and subjective satisfaction with incision scar checked by visual analog scale were compared between the groups, retrospectively. All 13 second Branchial Cleft Cyst resections were successfully performed endoscopically, and the wounds healed uneventfully. Endoscope-assisted surgery lasted 54.6 ± 6.3 min, and conventional surgery lasted 49.6 ± 6.9 min (P = 0.069). Degree of bleeding volume did not differ between the groups (P = 0.624). Mean patient satisfaction score was 9.2 ± 0.6 in the endoscope-assisted surgery group and 6.2 ± 0.8 in the controls (P < 0.001). All 13 patients in the endoscope-assisted surgery group were satisfied with their cosmetic results. One case showed temporary numbness around the earlobe that recovered within 1 month after surgery. No marginal nerve palsy occurred. No complications such as bleeding, salivary fistula, or paresis of the marginal mandibular branch occurred. All 25 patients were disease free with follow-up of 6–24 months (median 16 months). Endoscope-assisted second Branchial Cleft Cyst resection via retroauricular approach is a feasible technique. This procedure may serve as an alternative approach that allows an invisible incision and better cosmetic results.

  • Endoscope-assisted versus conventional second Branchial Cleft Cyst resection.
    Surgical endoscopy, 2011
    Co-Authors: L Chen, Wei Sun, Siyi Zhang, Xiaoning Luo, Jian-dong Zhan, Xiaoming Huang
    Abstract:

    This study evaluates the feasibility of endoscope-assisted second Branchial Cleft Cyst resection via retroauricular approach by comparing it with conventional cervical incision for removal of second Branchial Cleft Cyst. From January 2009 to December 2010, 25 patients were randomly assigned to the endoscope-assisted surgery group (13 patients) or the conventional surgery group (12 patients). The clinical characteristics of patients, operation time, operative bleeding volume, postoperative complications, and subjective satisfaction with incision scar checked by visual analog scale were compared between the groups, retrospectively. All 13 second Branchial Cleft Cyst resections were successfully performed endoscopically, and the wounds healed uneventfully. Endoscope-assisted surgery lasted 54.6 ± 6.3 min, and conventional surgery lasted 49.6 ± 6.9 min (P = 0.069). Degree of bleeding volume did not differ between the groups (P = 0.624). Mean patient satisfaction score was 9.2 ± 0.6 in the endoscope-assisted surgery group and 6.2 ± 0.8 in the controls (P 

Xiaoming Huang - One of the best experts on this subject based on the ideXlab platform.

  • a comparison between endoscopic assisted second Branchial Cleft Cyst resection via retroauricular hairline approach and conventional second Branchial Cleft Cyst resection
    Journal of clinical otorhinolaryngology head and neck surgery, 2013
    Co-Authors: L Chen, Xiaoming Huang, Xiaonin Lou, Siyi Xhang, Xinhan Song
    Abstract:

    OBJECTIVE To assess the feasibility, risks and advantages of endoscope-assisted second Branchial Cleft Cyst (SBCC) resection via the retroauricular hairline approach (RHA) by comparing with conventional trans cervical approach. METHOD Using prospective clinical controlled study, in twenty five patients with SBCC, 13 cases underwent endoscope-assisted resection via the RHA, 12 cases underwent conventional transcervical approach resection. Preoperatively, the sizes, locations and adjacency of all lesions were evaluated by ultrasonography, CT or MRI. Pathologic diagnoses of all cases were identified as SBCC using fine needle aspiration biopsy. Two groups were compared at length of incision, operation time, bleeding, incision cosmetic result, complication etc. RESULT All 25 operations were successfully performed. Length of incision and operation time in endoscopic group were significantly longer than that of the transcervical group (P < 0.05). After three months, the mean subjective satisfaction score of incision scar in the endoscopic group was significantly higher than that of transcervical group (P < 0.01). In endoscopic group, 1 cases (7.7%) with temporary numbness of earlobe and 1 case (7.7%) with a darkened color change of the flap margin at the incision angle were found postoperatively. However, they were recovered within 1 month. All the 25 patients were disease free with a follow-up from 18 to 36 months (median follow-up: 26 months). CONCLUSION Endoscope-assisted SBCC resection via RHA is feasible and safe for the treatment of SBCC. In comparison with the transcervical approach, this method can provide an invisible incision and better cosmetic re suits without significant complications.

  • endoscope assisted versus conventional second Branchial Cleft Cyst resection
    Surgical Endoscopy and Other Interventional Techniques, 2012
    Co-Authors: L Chen, Wei Sun, Siyi Zhang, Xiaoning Luo, Jian-dong Zhan, Xiaoming Huang
    Abstract:

    This study evaluates the feasibility of endoscope-assisted second Branchial Cleft Cyst resection via retroauricular approach by comparing it with conventional cervical incision for removal of second Branchial Cleft Cyst. From January 2009 to December 2010, 25 patients were randomly assigned to the endoscope-assisted surgery group (13 patients) or the conventional surgery group (12 patients). The clinical characteristics of patients, operation time, operative bleeding volume, postoperative complications, and subjective satisfaction with incision scar checked by visual analog scale were compared between the groups, retrospectively. All 13 second Branchial Cleft Cyst resections were successfully performed endoscopically, and the wounds healed uneventfully. Endoscope-assisted surgery lasted 54.6 ± 6.3 min, and conventional surgery lasted 49.6 ± 6.9 min (P = 0.069). Degree of bleeding volume did not differ between the groups (P = 0.624). Mean patient satisfaction score was 9.2 ± 0.6 in the endoscope-assisted surgery group and 6.2 ± 0.8 in the controls (P < 0.001). All 13 patients in the endoscope-assisted surgery group were satisfied with their cosmetic results. One case showed temporary numbness around the earlobe that recovered within 1 month after surgery. No marginal nerve palsy occurred. No complications such as bleeding, salivary fistula, or paresis of the marginal mandibular branch occurred. All 25 patients were disease free with follow-up of 6–24 months (median 16 months). Endoscope-assisted second Branchial Cleft Cyst resection via retroauricular approach is a feasible technique. This procedure may serve as an alternative approach that allows an invisible incision and better cosmetic results.

  • Endoscope-assisted versus conventional second Branchial Cleft Cyst resection.
    Surgical endoscopy, 2011
    Co-Authors: L Chen, Wei Sun, Siyi Zhang, Xiaoning Luo, Jian-dong Zhan, Xiaoming Huang
    Abstract:

    This study evaluates the feasibility of endoscope-assisted second Branchial Cleft Cyst resection via retroauricular approach by comparing it with conventional cervical incision for removal of second Branchial Cleft Cyst. From January 2009 to December 2010, 25 patients were randomly assigned to the endoscope-assisted surgery group (13 patients) or the conventional surgery group (12 patients). The clinical characteristics of patients, operation time, operative bleeding volume, postoperative complications, and subjective satisfaction with incision scar checked by visual analog scale were compared between the groups, retrospectively. All 13 second Branchial Cleft Cyst resections were successfully performed endoscopically, and the wounds healed uneventfully. Endoscope-assisted surgery lasted 54.6 ± 6.3 min, and conventional surgery lasted 49.6 ± 6.9 min (P = 0.069). Degree of bleeding volume did not differ between the groups (P = 0.624). Mean patient satisfaction score was 9.2 ± 0.6 in the endoscope-assisted surgery group and 6.2 ± 0.8 in the controls (P 

Francoise Denoyelle - One of the best experts on this subject based on the ideXlab platform.

  • unusual presentation of a first Branchial Cleft Cyst associated with an abnormal bony canal a case report
    Journal of Otolaryngology-head & Neck Surgery, 2020
    Co-Authors: Amanda Fanous, V Couloigner, P Gorphe, Louise Galmiche, M Alexandru, En Garabedian, L Coffinet, T Blanc, Nicolas Leboulanger, Francoise Denoyelle
    Abstract:

    First Branchial Cleft anomalies are rare, accounting for only 10% of all Branchial Cleft anomalies. We report an even more rare and unique case of a Branchial Cleft Cyst with features of both first and second arch derivatives. A 6-year-old boy presented to us with a left conductive hearing loss associated with pre-tympanic keratin debris and an ipsilateral painful cervical mass. He had a past medical history of left ear surgery for presumed cholesteatoma 2 years prior and left neck abscess drainage 6 months prior. CT and MRI revealed a lesion originating in the external auditory canal and extending cervically through a bony canal located medial to the facial nerve and terminating as a parapharyngeal Cyst. The complete removal was accomplished in one surgical stage consisting of three distinct steps: robotic assisted transoral resection of the pharyngeal Cyst, an endaural approach and a parotidectomy approach. We believe that our detailed description of this rare first Branchial Cleft Cyst with pharyngeal extension, possibly a hybrid case between a first and second Branchial Cyst, can serve as a valuable tool to Otolaryngologists – Head and Neck Surgeons who come across a similar unusual presentations.

Joseph C. Sniezek - One of the best experts on this subject based on the ideXlab platform.

  • Papillary Thyroid Carcinoma in a Branchial Cleft Cyst without a Thyroid Primary: Navigating a Diagnostic Dilemma
    2016
    Co-Authors: Douglas S. Ruhl, Mark F. Sheridan, Joseph C. Sniezek
    Abstract:

    Copyright © 2013 Douglas S. Ruhl et al.This is an open access article distributed under the Creative CommonsAttribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We report a rare case of papillary thyroid carcinoma incidentally foundwithin a Branchial Cleft Cyst. Only four other cases have been described in the literature. A total thyroidectomy and selective neck dissection was performed, and no evidence of occult primary disease was found after review of fine sections. Branchial Cleft Cysts are themost common lateral neckmasses. Ectopic thyroid tissue within a Branchial Cleft Cyst is an unusual phenomenon, and papillary thyroid carcinoma arising from this tissue is extremely rare. Clinicians are left with a diagnostic dilemma when presented with thyroid tissue neoplasm within a neck Cyst in the absence of a thyroid primary—is this a case of metastatic disease with a missed primary or rather carcinoma arising in ectopic thyroid tissue? A thorough discussion of the etiologies of these lateral neck masses is reviewed including the embryogenesis of thyroid tissue in a Branchial Cleft Cyst.The prognosis of patients with papillary thyroid carcinoma in lateral neck Cysts without a primary site identified appears to be good following excision of the Cyst and total thyroidectomy. Other management recommendations regarding these unique lateral neck malignancies are also presented. 1

  • Papillary Thyroid Carcinoma in a Branchial Cleft Cyst without a Thyroid Primary: Navigating a Diagnostic Dilemma.
    Case reports in otolaryngology, 2013
    Co-Authors: Douglas S. Ruhl, Mark F. Sheridan, Joseph C. Sniezek
    Abstract:

    We report a rare case of papillary thyroid carcinoma incidentally found within a Branchial Cleft Cyst. Only four other cases have been described in the literature. A total thyroidectomy and selective neck dissection was performed, and no evidence of occult primary disease was found after review of fine sections. Branchial Cleft Cysts are the most common lateral neck masses. Ectopic thyroid tissue within a Branchial Cleft Cyst is an unusual phenomenon, and papillary thyroid carcinoma arising from this tissue is extremely rare. Clinicians are left with a diagnostic dilemma when presented with thyroid tissue neoplasm within a neck Cyst in the absence of a thyroid primary—is this a case of metastatic disease with a missed primary or rather carcinoma arising in ectopic thyroid tissue? A thorough discussion of the etiologies of these lateral neck masses is reviewed including the embryogenesis of thyroid tissue in a Branchial Cleft Cyst. The prognosis of patients with papillary thyroid carcinoma in lateral neck Cysts without a primary site identified appears to be good following excision of the Cyst and total thyroidectomy. Other management recommendations regarding these unique lateral neck malignancies are also presented.

Marcella R. Bothwell - One of the best experts on this subject based on the ideXlab platform.

  • Type II first Branchial Cleft Cyst: A case report and review
    Otolaryngology–Head and Neck Surgery, 2004
    Co-Authors: Steven Paul Chase, Marcella R. Bothwell
    Abstract:

    Abstract Objectives: Although first Branchial Cleft Cysts are rare, their characteristics have been well described in the literature. Proper diagnosis relies on a high index of suspicion and imaging studies to properly define the course of the sinus or fistula tract. Adequate treatment can be rendered with proper preoperative planning and diligent work in the operative suite. We discuss a case exhibiting delayed correct diagnosis and then final proper managment. We intend to describe the proper evaluation, diagnosis, and managment of type II first Branchial Cleft Cysts. Methods: A relevant and interesting case is reported along with a comprehensive review of the literature. Clinical history, laboratory, radiologic, and photographic data are included. Results: We present a case of a patient who underwent several unsuccessful procedures due to delay in correct diagnosis of Type II first Branchial Cleft Cyst. With proper diagnosis, successful management was obtained. Conclusion: Type II first Branchial Cleft Cysts are rare. Proper diagnosis is critical to avoid multiple unsuccessful surgical procedures. Recognizing clinical signs and having a high index of suspicion are important to correct diagnosis. Imaging studies are an essential adjunctive tool to confirm and localize the Cyst, sinus, or fistula. With proper diagnosis and diligent preoperative planning type II FBBC can be effectively treated