Cervical branchial cystectomy

The first cleft palate is rare, and the small and shallow cysts are simple to remove. If the cyst is located deep in the facial nerve, it is very difficult to remove. Sometimes the facial nerve is dissected and part of the parotid tissue is removed to be safely and completely removed. Cyst. Curing disease: Indication Cervical sacral cystectomy for: Once diagnosed, it should be removed as soon as possible. Children under the age of 4 may delay the operation period as appropriate. Preoperative preparation Anesthesia and position Intratracheal intubation was general anesthesia. Supine, shoulder pads, head biased to the opposite side of the surgery. Surgical procedure 1. Cross the cyst to make a transverse incision of the skin to the platysma or to make a diagonal incision along the anterior border of the sternocleidomastoid. The length and height of the incision are determined by the location and size of the cyst. 2. Retract the skin flap. When the transverse incision is close to the mandibular angle, the upper flap should not be overweight to avoid damage to the mandibular branch of the facial nerve. The external jugular vein located on the superficial side of the sternocleidomastoid muscle can be ligated, but the auricular nerve on the posterior aspect should be protected as much as possible. 3. Cut the deep fascia of the neck, separate the anterior border of the sternocleidomastoid muscle covering the surface of the cyst and pull it to the posterior side to reveal the cyst. 4. From the lower end of the cyst, continue to separate the carotid sheath, internal jugular vein and total facial vein around it, and then separate upwards. Care should be taken to protect the accessory nerves above and the sublingual nerves deep in the second abdominal muscles. In a few cases, the cyst may pass through the neck, between the internal carotid artery, and the sublingual nerve is connected to the pharynx, and should be carefully separated. 5. After the cyst is completely separated and removed, the incision is layered and sutured, and if necessary, a drainage is placed at one end of the incision.

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