Díaz-Manzano José A, Sánchez-Martínez Nieves, Iniesta-Alcázar Jesús, Medina-Banegas Alfonso
ENT Department, Hospital del Noroeste, Caravaca, Murcia, Spain.
Auris Nasus Larynx. 2008 Mar;35(1):161-4. doi: 10.1016/j.anl.2007.04.009. Epub 2007 Sep 10.
The parapharyngeal presentation of a branchial cleft cyst of the second arch is extremely uncommon. The treatment considered to be most effective is total extirpation via a transcervical approach, but this is not without its complications. A case is described here of a patient who requested conservative treatment. Thus, a transoral exeresis of the oropharyngeal wall of the cyst was carried out, the cyst was drained, and its borders were marsupialized to the pharyngeal wall. Postoperative evolution was towards obliteration of the tract, as should have occurred in the embryonal period.
第二鳃弓鳃裂囊肿的咽旁表现极为罕见。被认为最有效的治疗方法是经颈入路完全切除，但这并非没有并发症。本文描述了一例要求保守治疗的患者。因此，对囊肿的口咽壁进行了经口切除术，囊肿进行了引流，并将其边缘袋形缝术于咽壁。术后病程朝着瘘管闭塞发展，这在胚胎期就应该发生。
