European Archives of Oto-Rhino-Laryngology ( IF 1.9 ) Pub Date : 2022-07-19 , DOI: 10.1007/s00405-022-07542-0
Franziska E Schwan 1 , Julian Künzel 1 , Florian Weber 2 , Veronika Vielsmeier 1 , Christopher Bohr 1 , Kornelia E C Andorfer 1
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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.
中文翻译:
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非同侧扁桃体切除术的侧颈囊肿手术:一项回顾性分析
目的
关于侧颈囊肿 (LNC) 的起源提出了几种理论。除了完全手术切除同侧扁桃体切除术和解剖道或其残余有时被推荐。在这项回顾性试验中,我们想评估仅接受 LNC 切除术的患者是否会出现并发症或复发,以证明这种手术策略是合理的。
方法
纳入了 2004 年至 2017 年间在大学医院耳鼻喉科接受 LNC 切除术的患者。数据是从诊所数据库和通过结构化电话采访收集的。
结果
共有 126 名患者符合纳入标准。在这个集体中,侧颈囊肿的诊断在组织学上得到证实。手术时的平均年龄为 38 岁 (± 14.6)。中位随访时间为 7 年(范围 3-18)。在随访期间,没有参与者出现复发性单侧咽炎或扁桃体炎。此外,无术后扁桃体周围、颈部痰液或颈部脓肿的病例。没有患者报告 LNC 复发。
结论
单独完全切除 LNC 足以避免术后感染和复发。因此,在常规的 LNC 手术病例中,同侧扁桃体切除术和束切开术不是必需的。