Lymphadenectomy using dissection and protection of carotid sheath and main nerves in surgery for benign diseases in the neck
10.3760/cma.j.issn.1673-0860.2017.01.010
- VernacularTitle: 颈淋巴清扫中颈鞘与颈部重要神经的解剖与保护在颈部复杂良性病变中的应用
- Author:
Jing WU
1
;
Yehai LIU
1
;
Kaile WU
1
;
Xiaohong LI
1
;
Chaobing GAO
1
;
Yi ZHAO
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
- Publication Type:Journal Article
- Keywords:
Head and neck neoplasms;
Surgical procedures, operative;
Carotid arteries;
Jugular veins
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2017;52(1):53-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the significance of lymphadenectomy using dissection and protection of carotid sheath and main nerves in treating complex benign disease of neck.
Methods:A total of 54 cases with benign diseases in neck who received the protective surgical treatments were reviewed. There were 25 cases of recurrent branchial fistula, 15 cases of lymphoid tuberculosis, 5 cases of cystic hygroma, 5 cases of racemose angioma, and 4 cases of Madelung's disease. According to the location and extent of disease, all cases received operation with dissection and protection of carotid sheath and main nerves to removal lesions with lymphoid tissue and fat-connective tissue.
Results:All cases recovered well, and no recurrence occurred with follow-up of 3 to 65 months. There was no other complication except for occurring of Horner syndrome in 1 patient.
Conclusion:The protective surgical method has certain application value in the treatment of benign neck diseases that have no indefinite boundary and widely distribute.
