Division of Otolaryngology, Tohoku Medical and Pharmaceutical University Hospital, 1-12-1, Fukumuro, Miyaginoku, Sendai 983-8512, Japan; Department of Otolaryngology, Yamagata City Hospital Saiseikan, Yamagata, Japan.
Division of Otolaryngology, Tohoku Medical and Pharmaceutical University Hospital, 1-12-1, Fukumuro, Miyaginoku, Sendai 983-8512, Japan.
Auris Nasus Larynx. 2023 Apr;50(2):272-275. doi: 10.1016/j.anl.2022.06.009. Epub 2022 Jul 14.
Branchial cleft cysts (BCCs) are common in daily practice, however, BCC patients suffer aesthetic problems due to postoperative scars on visible parts after surgery. To analyze the feasibility, surgical outcomes and possible risks and complications encountered during a facelift procedure for patients with BCC.
This retrospective analysis examined patients who had undergone surgery for branchial cleft cyst using a facelift procedure (n = 16) or conventional transcervical resection (n = 20) at our institutes between April 2015 and August 2021.
There was no significant difference between the groups that underwent the facelift procedure or conventional transcervical resection as to the average size of the cysts, operating time, bleeding, drain out, or recurrence. None of the patients needed to switch from the facelift procedure to conventional transcervical resection. In all the patients in the facelift procedure group, postoperative scars were fully concealed by the auricle and hair. However, four patients in the facelift procedure group experienced a transient auricular complication after surgery.
The facelift procedure provides adequate visualization, workspace and excellent cosmetic results in suitably selected cases with BCC.
鳃裂囊肿（BCC）在日常实践中很常见，然而，由于手术后在可见部位出现术后疤痕，BCC 患者会遭受美观问题。分析在面部提升术治疗 BCC 患者时的可行性、手术结果以及可能遇到的风险和并发症。
本回顾性分析研究了 2015 年 4 月至 2021 年 8 月期间在我们机构接受面部提升术（n=16）或传统经颈切除术（n=20）治疗的鳃裂囊肿患者。
在囊肿的平均大小、手术时间、出血、引流或复发方面，接受面部提升术或传统经颈切除术的两组之间没有显著差异。没有患者需要从面部提升术改为传统经颈切除术。在面部提升术组的所有患者中，术后疤痕均被耳廓和头发完全遮盖。然而，面部提升术组的 4 名患者在手术后出现了短暂的耳廓并发症。
在适当选择的 BCC 病例中，面部提升术提供了充分的可视化、工作空间和极佳的美容效果。
