Branchial cleft cysts in adults. Diagnostic procedures and treatment in a series of 18 cases

Purpose Branchial cleft anomalies may be presented as branchial cysts, fistulas, or sinuses. Purpose of this paper is to present the diagnostic procedures and the treatment in a series of branchial cleft cysts. Methods Eighteen patients with branchial cleft cysts were surgically treated. All of them...

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Bibliographic Details
Published in:Oral and maxillofacial surgery 2009-06, Vol.13 (2), p.79-85
Main Authors: Papadogeorgakis, Nikolaos, Petsinis, Vassilis, Parara, Eleni, Papaspyrou, Konstantinos, Goutzanis, Lampros, Alexandridis, Constantinos
Format: Article
Language:English
Subjects:
Adult
Biopsy, Fine-Needle
Branchioma - diagnosis
Branchioma - diagnostic imaging
Branchioma - surgery
Cysts
Dentistry
Dissection - methods
Female
Follow-Up Studies
Gram-Positive Bacterial Infections - diagnosis
Gram-Positive Bacterial Infections - surgery
Head and Neck Neoplasms - diagnosis
Head and Neck Neoplasms - surgery
Humans
Magnetic Resonance Imaging
Male
Medical diagnosis
Medicine
Medicine & Public Health
Middle Aged
Neck - pathology
Neck - surgery
Oral and Maxillofacial Surgery
Original Article
Peptostreptococcus - isolation & purification
Streptococcal Infections - diagnosis
Streptococcal Infections - surgery
Streptococcus pyogenes - isolation & purification
Tomography, X-Ray Computed
Ultrasonography
Women
Young Adult
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Summary:Purpose Branchial cleft anomalies may be presented as branchial cysts, fistulas, or sinuses. Purpose of this paper is to present the diagnostic procedures and the treatment in a series of branchial cleft cysts. Methods Eighteen patients with branchial cleft cysts were surgically treated. All of them were subjected in laboratory examinations with ultrasonography, CT or/and MRI, and fine needle aspiration cytology (FNAC). Complete excision was the treatment in all cases. Results Eight patients had Type I, seven Type II, two Type III, and one a Type IV cyst. In all cases the surgical removal was successful and after 1 to 7 years post-surgical follow-up, no recurrences have been developed. Conclusions Branchial cleft cyst diagnostic procedure must be the same as for other neck swellings. FNAC is very useful for the diagnosis and the surgical approach must ensure safe and complete cyst removal in order to avoid intraoperative complications and recurrences.
ISSN:1865-1550
1865-1569
DOI:10.1007/s10006-009-0156-6