[Selective neck dissection for treating recurrent branchial anomalies].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 25(2): 51-3, 2011 Jan.
Article
em Zh
| MEDLINE
| ID: mdl-21473133
ABSTRACT
OBJECTIVE:
To evaluate the role of selective neck dissection in the treatment of recurrent branchial anomalies.METHOD:
The clinical data of 18 patients with recurrent branchial anomalies were retrospectively analyzed. In accordance with the embryologic and anatomic features of branchial anomalies, different types of selective neck dissection were applied. With dissection and protection of important vessels, nerves and other structures, enbloc resection principles were applied to extirpate branchial lesions, scarrings and inflammatory granuloma during the operation.RESULT:
Of all 18 patients, 16 cases were healed with primary healing, 2 cases with local incision infection were healed after dressing changes. A temporary facial nerve paralysis occurred in 1 case with recurrent first branchial cleft fistula postoperatively, and completely recovered 2 months after operation. A postoperative temporary vocal cord paralysis occurred in 1 case with recurrent fourth branchial cleft fistula, and totally recuperated 1 month after operation. No recurrences were found in all 18 cases with a follow-up period of 12-78 months (average 35 months).CONCLUSION:
Selective neck dissection is a safe and effective surgical procedure for the radical treatment of recurrent branchial anomalies.
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Base de dados:
MEDLINE
Assunto principal:
Esvaziamento Cervical
/
Região Branquial
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
Zh
Ano de publicação:
2011
Tipo de documento:
Article