Tsai Tsung-Yen, Su Chih-Ying
Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung Hsien, Taiwan.
Ann Otol Rhinol Laryngol. 2010 May;119(5):336-41. doi: 10.1177/000348941011900511.
Nasopharyngeal branchial cysts (NBCs) are derived from a remnant of the branchial apparatus and originate from the lateral wall of the nasopharynx. Total excision of these cysts was the standard treatment in the past. We present a simpler and less invasive approach for NBC treatment, involving marsupialization, and report on its effectiveness and advantages.
The surgical approach was transoral. A circular incision 2 to 3 cm in diameter was made directly through the inferior wall of the cyst. After the NBC was drained, its opening was widened with scissors. A disk of oropharyngeal mucosa and the connecting inferior wall of the cyst were excised together. The cut edges of the inner lining of the cyst and the oropharyngeal mucosa were approximated with sutures.
All 4 patients were female. One patient was observed because of poor cardiovascular health. The 3 patients who were managed surgically underwent successful transoral cyst marsupialization. The mean follow-up period was 21 months (range, 8 to 40 months). No obvious postoperative complication or recurrence was noted.
Transoral marsupialization is a simple, effective, and less invasive method for treatment of NBCs.
鼻咽鳃裂囊肿（NBCs）起源于鳃器残余，源自鼻咽侧壁。过去，这些囊肿的完整切除是标准治疗方法。我们提出一种更简单、侵入性更小的NBC治疗方法，即袋形缝合术，并报告其有效性和优势。
手术入路为经口。在囊肿下壁直接做一个直径2至3厘米的环形切口。NBC引流后，用剪刀扩大其开口。将一片口咽黏膜和相连的囊肿下壁一起切除。囊肿内衬和口咽黏膜的切缘用缝线对合。
4例患者均为女性。1例因心血管健康状况不佳而接受观察。3例接受手术治疗的患者经口囊肿袋形缝合术成功。平均随访期为21个月（范围8至40个月）。未观察到明显的术后并发症或复发。
经口袋形缝合术是一种治疗NBCs的简单、有效且侵入性较小的方法。
