Lateral neck cyst surgery without ipsilateral tonsillectomy: a retrospective analysis

Schwan, Franziska E. and Kuenzel, Julian and Weber, Florian and Vielsmeier, Veronika and Bohr, Christopher and Andorfer, Kornelia E. C. (2023) Lateral neck cyst surgery without ipsilateral tonsillectomy: a retrospective analysis. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 280 (1). pp. 315-320. ISSN 0937-4477, 1434-4726

Full text not available from this repository. (Request a copy)

Abstract

Purpose Several theories have been proposed regarding the origin of lateral neck cysts (LNC). Besides complete surgical resection ipsilateral tonsillectomy and dissection of a tract or its remnants is sometimes recommended. In this retrospective trial we wanted to evaluate if patients, who received LNC resection only, develop complications or recurrence to justify this surgical strategy. Methods Patients who received LNC resection between 2004 and 2017 at the Ear Nose and Throat Department of a university hospital were included. Data was collected from the clinic database and through a structured telephone interview. Results A total of 126 patients met the inclusion criteria. In this collective, the diagnosis of a lateral neck cyst was confirmed histologically. Mean age at time of operation was 38 years (+/- 14.6). The median follow-up time was 7 years (range 3-18). None of the participants experienced recurrent unilateral pharyngitis or tonsillitis during follow-up. Furthermore, there was no case of postoperative peritonsillar, neck phlegmon or neck abscess. No patient reported recurrence of LNC. Conclusions Sole complete resection of LNCs is sufficient to avoid postoperative infections and recurrences. Therefore, ipsilateral tonsillectomy and tract dissection is not necessary in routine cases of LNC surgery.

Item Type: Article
Uncontrolled Keywords: BRANCHIAL CLEFT ANOMALIES; Branchiogenic cyst; Lateral neck cyst; Lymphoepithelial cyst; Tonsillectomy
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Medicine > Lehrstuhl für Pathologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 31 Jan 2024 10:03
Last Modified: 31 Jan 2024 10:03
URI: https://pred.uni-regensburg.de/id/eprint/56917

Actions (login required)

View Item View Item