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A facelift procedure for resection of a branchial cleft cysts
Institution:1. Division of Otolaryngology, Tohoku Medical and Pharmaceutical University Hospital, 1-12-1, Fukumuro, Miyaginoku, Sendai 983-8512, Japan;2. Department of Otolaryngology, Yamagata City Hospital Saiseikan, Yamagata, Japan;3. Division of Anatomy and Cell Biology, Tohoku Medical and Pharmaceutical University, 1-12-1, Fukumuro, Miyaginoku, Sendai 983-8512, Japan;4. Division of Pathology, Tohoku Medical and Pharmaceutical University, 1-12-1, Fukumuro, Miyaginoku, Sendai 983-8512, Japan;1. Department of Otolaryngology-Head and Neck Surgery, Yokohama City University, Yokohama, Japan;2. Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA;3. Division of Head and Neck Surgery, University of California San Diego, La Jolla, California, USA;1. Department of Otolaryngology, The University of Tokyo, Tokyo, Japan;2. Department of Neurology, The University of Tokyo, Tokyo, Japan;1. Department of Radiology, Gifu University, 1-1 Yanagido, Gifu 501-1194, Japan;2. Department of Otolaryngology, Gifu University, Gifu, Japan;1. Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Nagoya, Japan;2. Department of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Japan
Abstract:ObjectivesBranchial cleft cysts (BCCs) are common in daily practice, however, BCC patients suffer aesthetic problems due to postoperative scars on visible parts after surgery. To analyze the feasibility, surgical outcomes and possible risks and complications encountered during a facelift procedure for patients with BCC.MethodsThis retrospective analysis examined patients who had undergone surgery for branchial cleft cyst using a facelift procedure (n = 16) or conventional transcervical resection (n = 20) at our institutes between April 2015 and August 2021.ResultsThere was no significant difference between the groups that underwent the facelift procedure or conventional transcervical resection as to the average size of the cysts, operating time, bleeding, drain out, or recurrence. None of the patients needed to switch from the facelift procedure to conventional transcervical resection. In all the patients in the facelift procedure group, postoperative scars were fully concealed by the auricle and hair. However, four patients in the facelift procedure group experienced a transient auricular complication after surgery.ConclusionThe facelift procedure provides adequate visualization, workspace and excellent cosmetic results in suitably selected cases with BCC.
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