Paczona R, Jóri J, Czigner J
Department of Oto-Rhino-Laryngology, Albert Szent-Györgyi Medical University, Szeged, Hungary.
Eur Arch Otorhinolaryngol. 1998;255(7):379-81. doi: 10.1007/s004050050082.
Two cases with unusual pharyngeal localizations of branchial cysts medial to the great neck vessels and pharyngeal constrictor muscle are presented. The authors reviewed the theories of origin of the branchial cysts and the surgical treatment options. In their first case the transoral approach was chosen. Because of previous unsuccessful attempts at surgical treatment, the pharyngeal cyst was extremely adherent to adjacent tissue with much scar tissue, and it was very difficult to remove. As a result of this disappointing operation, an external neck exploration was indicated in the second patient. Histological examinations confirmed that the excised cysts were branchial in both cases.
本文报告了两例鳃裂囊肿位于颈部大血管内侧和咽缩肌内侧的特殊咽部定位病例。作者回顾了鳃裂囊肿的起源理论和手术治疗选择。在第一例病例中，选择了经口入路。由于先前手术治疗失败，咽部囊肿与相邻组织粘连严重，有大量瘢痕组织，很难切除。由于这次令人失望的手术，第二例患者需要进行颈部外侧探查。组织学检查证实，两例切除的囊肿均为鳃裂囊肿。
