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April 1994

Functional Neck Dissection for Treatment of Recurrent Branchial Remnants

Author Affiliations

From the Division of Head and Neck Surgery, UCLA School of Medicine.

Arch Otolaryngol Head Neck Surg. 1994;120(4):417-421. doi:10.1001/archotol.1994.01880280045008

Objective:  To evaluate the role of functional neck dissection for treatment of cervical branchial remnants that are recurrent after previous surgical intervention.

Design:  A retrospective review was undertaken of six patients undergoing functional neck dissection for excision of recurrent branchial anomalies treated over an 18-year period.

Setting:  Academic tertiary referral medical center.

Participants:  Six patients with recurrent branchial cysts, sinuses, or fistulas. Each participant previously had undergone between one and 14 ineffective surgical procedures.

Intervention:  Each patient was treated by functional neck dissection.

Outcome Measures:  Clinically noted complications and recurrences.

Results:  There were no major complications. Minor complications included one postoperative wound infection and one transient spinal accessory nerve paresis. There were no recurrences.

Conclusions:  Functional neck dissection is a safe and effective procedure for surgical management of recurrent cervical branchial remnants.(Arch Otolaryngol Head Neck Surg. 1994;120:417-421)

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