First branchial cleft cyst excision with electrophysiological facial nerve localization

Glenn Isaacson, William Martin

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: To assess the safety and efficacy of surgical excision of selected first branchial cleft cysts using electrophysiological rather than anatomical location of the facial nerve. Design: Retrospective review of consecutive surgical procedures by a single surgeon, using a consistent technique during a 9-year period. Setting: Tertiary pediatric medical center. Patients: Eleven children with first branchial cleft cysts. Interventions: Selected first branchial cleft cysts were removed using a smaller surgical approach than that generally advocated. The facial nerve was localized using electrophysiological means rather than superficial parotidectomy and identification of the nerve trunk and branches. Main Outcome Measures: Successful removal of the lesion, avoidance of facial nerve injury, incidence of Fry syndrome, and cosmesis. Results: Eleven patients underwent surgical excision of first branchial cleft cysts during a 9-year period. Ten lesions were removed without the need for anatomical localization of the facial nerve trunk. There was no facial weakness, recurrence of the lesions, or Fry syndrome during a follow-up of 6 months to 7 years. Cosmesis was superior. Conclusion: Electrophysiological location of the facial nerve may, in the appropriate setting, replace anatomical localization for first branchial cleft cysts that are (1) superior to the stylomastoid foramen and (2) not previously infected or surgically violated.

Original languageEnglish (US)
Pages (from-to)513-516
Number of pages4
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume126
Issue number4
StatePublished - Apr 2000
Externally publishedYes

Fingerprint

Branchioma
Facial Nerve
Facial Nerve Injuries
Outcome Assessment (Health Care)
Pediatrics
Safety
Recurrence
Incidence

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

First branchial cleft cyst excision with electrophysiological facial nerve localization. / Isaacson, Glenn; Martin, William.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 126, No. 4, 04.2000, p. 513-516.

Research output: Contribution to journalArticle

@article{6eed6be84a644bb19f892a792ea2c455,
title = "First branchial cleft cyst excision with electrophysiological facial nerve localization",
abstract = "Objective: To assess the safety and efficacy of surgical excision of selected first branchial cleft cysts using electrophysiological rather than anatomical location of the facial nerve. Design: Retrospective review of consecutive surgical procedures by a single surgeon, using a consistent technique during a 9-year period. Setting: Tertiary pediatric medical center. Patients: Eleven children with first branchial cleft cysts. Interventions: Selected first branchial cleft cysts were removed using a smaller surgical approach than that generally advocated. The facial nerve was localized using electrophysiological means rather than superficial parotidectomy and identification of the nerve trunk and branches. Main Outcome Measures: Successful removal of the lesion, avoidance of facial nerve injury, incidence of Fry syndrome, and cosmesis. Results: Eleven patients underwent surgical excision of first branchial cleft cysts during a 9-year period. Ten lesions were removed without the need for anatomical localization of the facial nerve trunk. There was no facial weakness, recurrence of the lesions, or Fry syndrome during a follow-up of 6 months to 7 years. Cosmesis was superior. Conclusion: Electrophysiological location of the facial nerve may, in the appropriate setting, replace anatomical localization for first branchial cleft cysts that are (1) superior to the stylomastoid foramen and (2) not previously infected or surgically violated.",
author = "Glenn Isaacson and William Martin",
year = "2000",
month = "4",
language = "English (US)",
volume = "126",
pages = "513--516",
journal = "JAMA Otolaryngology - Head and Neck Surgery",
issn = "2168-6181",
publisher = "American Medical Association",
number = "4",

}

TY - JOUR

T1 - First branchial cleft cyst excision with electrophysiological facial nerve localization

AU - Isaacson, Glenn

AU - Martin, William

PY - 2000/4

Y1 - 2000/4

N2 - Objective: To assess the safety and efficacy of surgical excision of selected first branchial cleft cysts using electrophysiological rather than anatomical location of the facial nerve. Design: Retrospective review of consecutive surgical procedures by a single surgeon, using a consistent technique during a 9-year period. Setting: Tertiary pediatric medical center. Patients: Eleven children with first branchial cleft cysts. Interventions: Selected first branchial cleft cysts were removed using a smaller surgical approach than that generally advocated. The facial nerve was localized using electrophysiological means rather than superficial parotidectomy and identification of the nerve trunk and branches. Main Outcome Measures: Successful removal of the lesion, avoidance of facial nerve injury, incidence of Fry syndrome, and cosmesis. Results: Eleven patients underwent surgical excision of first branchial cleft cysts during a 9-year period. Ten lesions were removed without the need for anatomical localization of the facial nerve trunk. There was no facial weakness, recurrence of the lesions, or Fry syndrome during a follow-up of 6 months to 7 years. Cosmesis was superior. Conclusion: Electrophysiological location of the facial nerve may, in the appropriate setting, replace anatomical localization for first branchial cleft cysts that are (1) superior to the stylomastoid foramen and (2) not previously infected or surgically violated.

AB - Objective: To assess the safety and efficacy of surgical excision of selected first branchial cleft cysts using electrophysiological rather than anatomical location of the facial nerve. Design: Retrospective review of consecutive surgical procedures by a single surgeon, using a consistent technique during a 9-year period. Setting: Tertiary pediatric medical center. Patients: Eleven children with first branchial cleft cysts. Interventions: Selected first branchial cleft cysts were removed using a smaller surgical approach than that generally advocated. The facial nerve was localized using electrophysiological means rather than superficial parotidectomy and identification of the nerve trunk and branches. Main Outcome Measures: Successful removal of the lesion, avoidance of facial nerve injury, incidence of Fry syndrome, and cosmesis. Results: Eleven patients underwent surgical excision of first branchial cleft cysts during a 9-year period. Ten lesions were removed without the need for anatomical localization of the facial nerve trunk. There was no facial weakness, recurrence of the lesions, or Fry syndrome during a follow-up of 6 months to 7 years. Cosmesis was superior. Conclusion: Electrophysiological location of the facial nerve may, in the appropriate setting, replace anatomical localization for first branchial cleft cysts that are (1) superior to the stylomastoid foramen and (2) not previously infected or surgically violated.

UR - http://www.scopus.com/inward/record.url?scp=0034072840&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034072840&partnerID=8YFLogxK

M3 - Article

C2 - 10772306

AN - SCOPUS:0034072840

VL - 126

SP - 513

EP - 516

JO - JAMA Otolaryngology - Head and Neck Surgery

JF - JAMA Otolaryngology - Head and Neck Surgery

SN - 2168-6181

IS - 4

ER -