Giant cyst of the second branchial arch in an adult: case report and literature review

Autor: Luis Gustavo Ramos Raupp Pereira, Maria Eduarda Tomasetto, Renan Mathias Ferreira Saltiél, Igor Fagundes Sartori, Bruno Luiz Amaral, Eduardo Madalosso Zanin
Jazyk: English<br />Portuguese
Rok vydání: 2023
Předmět:
Zdroj: Revista Brasileira de Cirurgia Plástica, Vol 38, Iss 4 (2023)
Druh dokumentu: article
ISSN: 1983-5175
2177-1235
DOI: 10.5935/2177-1235.2023RBCP0840-EN
Popis: Introduction: The branchial arches are the embryological precursors of the face, neck, and pharynx. Branchial arch anomalies are the second most common congenital head and neck lesions in children. Among these anomalies are branchial arch cysts (BCC), which arise due to incorrect obliteration of the branchial slits, still in the embryonic period. BCCs may be asymptomatic, only noticed incidentally, and not manifest until adulthood. Results: Anomalies of the second branchial arch should be considered as one of the possible differential diagnoses of neck masses, especially those that manifest as a bulge in the lateral region of the neck. BCCs are epithelial lining formations without external openings. After diagnosis, treatment is surgical, usually through a transverse cervical incision and careful dissection of the structures, with the aim of extirpating the entire lesion. Conclusion: The method described of excision of the lesion through a transverse incision in the cervical region, tissue dissection in planes, and resection of the cystic mass is an option for the treatment of this deformity, with adequate aesthetic results and good reproducibility.
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