Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
권호 표지

A Case of Second Branchial Cleft Cyst Presenting as a Parapharyngeal Cystic Mass

부인두강 낭성 종물로 발현된 제2새열 낭종 1례

  • Kim, Byung Ha (Department of Otorhinolaryngology-Head and Neck Surgery, Chosun University College of Medicine) ;
  • Do, Nam Yong (Department of Otorhinolaryngology-Head and Neck Surgery, Chosun University College of Medicine) ;
  • Cho, Sung Il (Department of Otorhinolaryngology-Head and Neck Surgery, Chosun University College of Medicine) ;
  • Park, Jun Hee (Department of Otorhinolaryngology-Head and Neck Surgery, Chosun University College of Medicine)
  • 김병하 (조선대학교 의과대학 이비인후과학교실) ;
  • 도남용 (조선대학교 의과대학 이비인후과학교실) ;
  • 조성일 (조선대학교 의과대학 이비인후과학교실) ;
  • 박준희 (조선대학교 의과대학 이비인후과학교실)
  • Received : 2012.11.28
  • Accepted : 2012.12.05
  • Published : 2012.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Second branchial cleft cysts are usually present as a fluctuant neck mass along the anterior border of the sternocleidomastoid muscle. When they are found in this typical location, accurate diagnosis on initial presentation is not difficult. Parapharyngeal presence of the branchial cleft cyst is very rare. We report a case of second branchial cleft cyst presenting as a parapharyngeal cystic mass in 51-year-old male. Before coming to our clinic, the patient had been diagnosed as parapharyngeal abscess, resulting in several attempts at removal. However, symptoms and parapharyngeal abscess recurred. We performed complete surgical resection of the parapharyngeal cystic mass via transoral approach only with oropharyngeal incision. The cystic mass was located in the parapharyngeal space and did not have tract-like structure. Histopathologic examination confirmed that the excised cyst was branchial cleft cyst. Patient discharged without any surgical complication and there was no evidence of recurrence for 2 years follow-up.

Keywords