International Journal of Head and Neck Surgery

Register      Login

VOLUME 5 , ISSUE 2 ( May-August, 2014 ) > List of Articles

RESEARCH ARTICLE

Selective Neck Dissection: A Novel Technique for Second Branchial Arch Anomalies

Sagaya Raj, Azeem Mohiyuddin, Kouser Mohammadi, Shuaib Merchant, Ravindra P Deo, Samdani Nawaz

Citation Information : Raj S, Mohiyuddin A, Mohammadi K, Merchant S, Deo RP, Nawaz S. Selective Neck Dissection: A Novel Technique for Second Branchial Arch Anomalies. Int J Head Neck Surg 2014; 5 (2):57-60.

DOI: 10.5005/jp-journals-10001-1182

Published Online: 01-09-2015

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Introduction

To propose an operation similar to selective neck dissection (levels II, III and IV) as a method of successful management of second arch branchial anomalies.

Materials and methods

We did a prospective study on patients with branchial arch anomalies from the years 2009 to 2013. They underwent minimal radiological workup. All of them underwent a novel surgical procedure similar to selective neck dissection (levels II, III, IV) that lead to excision of the tract. Patients were followed up for an average period of 2 years.

Results

We had seven patients which included two branchial sinus, three cysts and two fistulae. All of them were operated and the tract was identified and completely excised by the above approach. None of them had any complications or recurrence on follow-up.

Conclusion

Branchial arch anomalies are rare congenital problems posing a significant challenge to an ENT surgeon. Inadequate and inappropriate surgeries resulting in recurrences are quite common. Attempts to get either a sinogram or fistulogram are often a failure and cumbersome.

Selective neck dissection from levels II to IV is a surgical maneuver which allows access to the involved anatomical segment of the neck. Thus, it is a structured and methodical approach that comprehensively leads to excision of the complete tract. It also reduces the chances of complications. Recurrences are rare with this technique.

How to cite this article

Merchant S, Mohiyuddin A, Deo RP, Raj S, Nawaz S, Mohammadi K. Selective Neck Dissection: A Novel Technique for Second Branchial Arch Anomalies. Int J Head Neck Surg 2014;5(2):57-60.


PDF Share
  1. Branchial cleft and pouch anomalies. J Laryngol Otol 1992;106(2):137-143.
  2. A combined approach excision of branchial fistula. J Laryngol Otol 1995;109(10):999-1000.
  3. Management of second branchial cleft anomalies. Rom J Morphol Embryol 2008; 49(1):69-74.
  4. Complete fistula of the second branchial cleft: case report of catheter-aided total excision. Int J Pediatr Otorhinolaryngol 2004;68(8):1109-1113.
  5. Second branchial cleft fistula: is fistulogram necessary for complete excision? Int J Pediatr Otorhinolaryngol 2006;70(6):1027-1030.
  6. Parenchymal cysts of lower neck. Radiology 1985; 157(2):399-406.
  7. Dynamic computed tomography of the head and neck: differential diagnostic value. Radiology 1985;154(2):413-419.
  8. Imaging of neck masses in infants and children. Crit Rev Diagn Imaging 1991;31(3-4):283-314.
  9. Branchial cyst side predilection: fact or fiction? Ann Otol Rhinol Laryngol 2007;116(2):112-114.
  10. Medical Journal Armed Forces India 2011;67(3):262-264.
  11. Second branchial cleft cysts: variability of sonographic appearances in adult cases. Am J Neuroradiol 2000;21(2):315-319.
  12. Branchial anomalies in the pediatric population. Otolaryngol Head Neck Surg 2007;137(2):289-295.
  13. Magnetic resonance imaging of branchial cleft abnormalities: illustrated cases and literature review. J Laryngol Otol 2010;124(2):213-215.
  14. Diagnosis and treatment of branchial cleft cysts and fistulae. A retrospective study of 183 patients. Int J Oral Maxillofac Surg 1996;25(6):449-452.
  15. Stripping of a fistula for complete second branchial cleft. J Plast Reconstr Aesthet Surg 2010;63(6):1052-1054.
  16. Congenital cervical cysts, sinuses and fistulae. Otolaryngol Clin N Am 2007;40(1):161-176.
  17. Complete fistula of the second Branchial cleft: report of a case with discussion on investigation and treatment aspects. Int J Head and Neck Surg 2010;4(1).
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.