Second branchial cyst in the parapharyngealspace: A case report

Saussez, Sven; Maesschalk, T. De; Mahillon, Virginie; Filleul, Olivier; Louryan, Stéphane

doi:10.1016/j.anl.2008.06.005

Cited by 11 publications

(12 citation statements)

References 9 publications

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Section: Discussionmentioning

confidence: 99%

“…Parapharyngeal space masses are rare and require special considerations due to their close proximity to vital neurovascular structures [1,2]. The parapharyngeal space is divided anatomically into prestyloid and poststyloid spaces, with the differential diagnosis driven by local structures [1][2][3]. Consideration must always be given to potential malignancies in the oropharynx and parapharyngeal space, and the management of malignant tumors of the oropharynx is also an evolving paradigm in the era of minimally invasive techniques such as robotic surgery.…”

Section: Benign Masses Of the Parapharyngeal Space And Second Branchimentioning

confidence: 99%

“…The mainstay of treatment for branchial cleft cysts is excision, but management options vary with the extent and location of the mass [1][2][3][4][5][6][7][8][9]. Broadly, there are three options for an external approach to excision, including transcervical, transparotid with total parotidectomy and retromandibular dissection, or transmandibular dissection with mandibulotomy.…”

Section: External Approach To Benign Parapharyngeal Massesmentioning

confidence: 99%

“…Parapharyngeal space masses require special considerations due to their close proximity to vital neurovascular structures [1, 2]. Historically, approach to this region required open external cervical approaches with potential for significant morbidity and consideration for mandibulotomy.…”

Section: Introductionmentioning

confidence: 99%

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Contemporary Management of Benign Parapharyngeal Lesions Using Minimally Invasive Techniques: Case Discussion and Review of the Literature

2020

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Branchial anomalies can present in the parapharyngeal space, creating unique challenges in management. Historically, this approach warranted an open approach, including transcervical, transparotid with total parotidectomy and retromandibular dissection, or transmandibular dissection with mandibulotomy. However, the advent of minimally invasive transoral techniques and laser resection have allowed for successful resection of masses in this anatomical region without an external approach. We illustrate these advancements with the case of a 30-year-old man with globus sensation and throat discomfort, found to have a mass of the right posterolateral oropharynx causing severe airway obstruction. Imaging showed a parapharyngeal mass with extension to the carotid sheath and retropharyngeal space, which was successfully resected with potassium-titanyl-phosphate (KTP) laser using a minimally invasive transoral approach with no major complications. Transoral excision offers decreased morbidity and a cosmetically favorable outcome compared to transcervical excision. KTP laser may be safely used for transoral excision of a benign parapharyngeal mass.

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Section: Discussionmentioning

confidence: 99%

Section: Benign Masses Of the Parapharyngeal Space And Second Branchimentioning

confidence: 99%

Section: External Approach To Benign Parapharyngeal Massesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Contemporary Management of Benign Parapharyngeal Lesions Using Minimally Invasive Techniques: Case Discussion and Review of the Literature

2020

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“…Tumor in deep lobe parotid gland is most common, if cystic mass exists in parapharyngeal space, it is the most necessary to distinguish it from cystic schwannonoma, minor salivary gland tumor and branchial cleft cyst. 8,9) The basic principle is that all of the methods to treat abnormalities of branchial apparatus are a complete surgical removal for the purpose of the prevention of recurrence. 10) To this end, it is required to examine detailed medical history of a patient and perform physical examination prior to surgery.…”

Section: Discussionmentioning

confidence: 99%

Unusual Presentation of Second Branchial Cleft Cyst: Case Reports and Literature Review

Jung

Yong

et al. 2016

Korean J Otorhinolaryngol-Head Neck Surg

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Case Case 1A male patient aged 51 was transferred to the hospital for main complaints of swelling sensation of pharynx, dysphagia and throat pain that had continued for several months. The patient visited other hospital seven months ago to receive the examination that showed the findings of left pharyngeal wall protrusion, injection and tenderness. The patient underwent the procedure of incision and drainage for two times under the diagnosis of left parapharyngeal abscess. When the patient visited this hospital, physical examinations showed that lateral wall of left oropharynx was severely protruded and pushed to the center and that uvula and left tonsil were dislocated to the right lower part respectively due to protrusion of the lateral Second branchial cleft cysts are the most common neck masses found in adults. However, the parapharyngeal presence of branchial cleft cyst is very rare. We report three cases of parapharyngeal branchial cleft cyst in adults. They suffered from frequent oropharyngeal infection or abscess. We performed a transoral resection without any surgical complications. Biopsy revealed a squamous lined epithelial wall with lymphoid aggregation, which is characteristic of branchial cleft cyst. No evidence of recurrence was observed in 2 years.

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