Agaton-Bonilla F C, Gay-Escoda C
Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Barcelona, Spain.
Int J Oral Maxillofac Surg. 1996 Dec;25(6):449-52. doi: 10.1016/s0901-5027(96)80081-6.
A retrospective analysis of 183 patients undergoing surgical treatment for branchial cleft cysts and fistulae between 1970 and 1990 was carried out. There were 148 (80.8%) cases of branchial cleft cysts and 35 (19.2%) cases of branchial cleft fistulae. In patients with branchial cysts, the most frequent clinical presentation consisted of a left-sided, painless, cervical mass. Patients with a branchial fistula presented with persistent mucous discharge from a skin opening in the neck. The introduction of ultrasonography, computed tomography, and magnetic nuclear resonance imaging has improved the accuracy of traditional radiologic methods such as parotid sialography and fistulography. Complete excision under general anesthesia is the treatment of choice, and the procedure is associated with a low incidence of local complications and neurologic sequelae. The overall recurrence rate was 4.9% after a follow-up of 2 years.
对1970年至1990年间接受鳃裂囊肿和瘘管手术治疗的183例患者进行了回顾性分析。其中鳃裂囊肿148例（80.8%），鳃裂瘘管35例（19.2%）。鳃裂囊肿患者最常见的临床表现为左侧无痛性颈部肿块。鳃裂瘘管患者表现为颈部皮肤开口处持续有黏液流出。超声、计算机断层扫描和磁共振成像的引入提高了传统放射学方法如腮腺造影和瘘管造影的准确性。全身麻醉下完整切除是首选治疗方法，该手术局部并发症和神经后遗症发生率低。随访2年后总体复发率为4.9%。
