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ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2021, Number 1

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Rev Mex Cir Bucal Maxilofac 2021; 17 (1)

Excision of a lateral branchial cyst: case report treated with neutral electrolyzed water

Paz GJ, Hernández AFM, Farías LH

Language: Spanish
References: 18
Page: 28-33
PDF size: 324.65 Kb.


ABSTRACT

Brachial cysts are rare pathologies with a low incidence, although they are considered the most common congenital disorder of the cervical region. Its etiology is not well established, but it is associated with errors in embryonic development. Depending on the branchial arch in which they are located, they are classified into types I-IV. Between 90-95% of cases correspond to type II, derived from the second branchial arch, and located in the upper third of the anterior border of the sternocleidomastoid muscle, on the lateral aspect of the neck. These benign masses are generally painless but can rapidly increase in size by limiting cervical movement and even causing dysphagia or respiratory compromise, and there is always a latent risk of infection. Its differential diagnosis is made with exploration, ultrasound, fine needle aspiration and histopathology. Treatment consists of complete removal of the cyst, which can be challenging due to the proximity of neurovascular structures. In this opportunity, we present our experience in the surgical approach of a type II brachial cyst, located in the left cervical lateral region, and the remarkable evolution of the wound healing, due to the use of neutral electrolyzed water (SES) for the lavage or the surgical bed; in order to minimize the risk of postoperative infections and promote the healing of the surgical wound.


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