Giant Branchial Cleft Cyst of the Neck

A Case Report

DOI

10.2991/978-94-6463-280-4_35How to use a DOI?

Keywords

Branchial Cleft Cyst; Neck Cyst; Neck Mas

ABSTRACT

Background: Branchial cleft cyst is a benign lesion of the neck caused by altered development of branchial apparatus. It is one of the most common congenital lesions of the neck, usually diagnosed before adulthood. The cyst can increase in size and cause asymmetry of the neck. Purpose: To provide information regarding management of giant branchial cleft cyst. Case Report: We reported a female patient, 35 year old with mass on the right neck, MSCT scan showed iso-hypodense lesion which extends to right supraclavicular region and deviates the trachea and surrounding tissue to the left. Patient was diagnosed with right branchial cleft cyst and surgical excision was done to remove the cyst. The large cyst has adhered to adjacent structure and some strap muscles has to be sacrificed during the procedure. Method: Literature search using the keyword ‘Branchial Cyst’ AND ‘Neck Cyst’ AND ‘Large’ AND ‘Surgery’ was done on PubMed, ScienceDirect, and Google Scholar. Result: The search obtained 9 articles published in the last 5 years. Based on inclusion and exclusion criteria, 3 studies related to the topic was selected. Conclusion: Surgical excision with approach of transverse wide cervical incision remains the treatment of choice for branchial cleft cyst. Careful identification and separation of the cyst and critical neck structures in the surrounding is important. Aspiration of the cyst during the procedure can be done to reduce the volume of the cyst when necessary. Endoscopic approach can be done if the cyst is small in size. Incision and drainage, sclerosing therapy and repeated aspiration of the cyst should be avoided to reduce recurrency and disrupt the surgical planes for later surgery.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Rian Kurniawan Laksono
AU  - Sagung Rai Indrasari
AU  - Camelia Herdini
AU  - Danu Yudistira
AU  - Artanto Wahyono
PY  - 2023
DA  - 2023/10/31
TI  - Giant Branchial Cleft Cyst of the Neck
BT  - Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)
PB  - Atlantis Press
SP  - 190
EP  - 195
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-280-4_35
DO  - 10.2991/978-94-6463-280-4_35
ID  - Laksono2023
ER  -