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Parapharyngeal cyst: considerations on embryology, clinical evaluation, and surgical management.
J Craniofac Surg. 2008 Nov; 19(6):1487-90.JC

Abstract

Branchial cleft anomalies represent a common cause of cervical mass in adults. Describing a case report, we reviewed embryology, clinical elements, and treatment options for parapharyngeal congenital cysts. A case of a parapharyngeal cyst mimicking a tonsillar abscess is presented. A second branchial cleft cyst was hypothesized on a clinical and radiologic basis and then confirmed by histologic data. Magnetic resonance imaging provided fundamental information for the study of the parapharyngeal mass and its relationship with surrounding structures. In literature, surgical excision is the recommended therapy. We removed the cyst through a transcervical approach, with no complications or recurrence after 3 years. In our opinion, cervicotomy should be considered the gold standard approach, even for lesions not palpable in the cervical area. When dealing with a parapharyngeal cyst, second branchial cleft anomalies should be considered. Our experience confirms that cervicotomy is a safe approach to parapharyngeal congenital lesions.

Authors+Show Affiliations

Second ENT Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

19098537

Citation

Dallan, Iacopo, et al. "Parapharyngeal Cyst: Considerations On Embryology, Clinical Evaluation, and Surgical Management." The Journal of Craniofacial Surgery, vol. 19, no. 6, 2008, pp. 1487-90.
Dallan I, Seccia V, Bruschini L, et al. Parapharyngeal cyst: considerations on embryology, clinical evaluation, and surgical management. J Craniofac Surg. 2008;19(6):1487-90.
Dallan, I., Seccia, V., Bruschini, L., Ciancia, E., & Franceschini, S. S. (2008). Parapharyngeal cyst: considerations on embryology, clinical evaluation, and surgical management. The Journal of Craniofacial Surgery, 19(6), 1487-90. https://doi.org/10.1097/SCS.0b013e318189724d
Dallan I, et al. Parapharyngeal Cyst: Considerations On Embryology, Clinical Evaluation, and Surgical Management. J Craniofac Surg. 2008;19(6):1487-90. PubMed PMID: 19098537.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parapharyngeal cyst: considerations on embryology, clinical evaluation, and surgical management. AU - Dallan,Iacopo, AU - Seccia,Veronica, AU - Bruschini,Luca, AU - Ciancia,Eugenio, AU - Franceschini,Stefano Sellari, PY - 2008/12/23/entrez PY - 2008/12/23/pubmed PY - 2009/4/1/medline SP - 1487 EP - 90 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 19 IS - 6 N2 - Branchial cleft anomalies represent a common cause of cervical mass in adults. Describing a case report, we reviewed embryology, clinical elements, and treatment options for parapharyngeal congenital cysts. A case of a parapharyngeal cyst mimicking a tonsillar abscess is presented. A second branchial cleft cyst was hypothesized on a clinical and radiologic basis and then confirmed by histologic data. Magnetic resonance imaging provided fundamental information for the study of the parapharyngeal mass and its relationship with surrounding structures. In literature, surgical excision is the recommended therapy. We removed the cyst through a transcervical approach, with no complications or recurrence after 3 years. In our opinion, cervicotomy should be considered the gold standard approach, even for lesions not palpable in the cervical area. When dealing with a parapharyngeal cyst, second branchial cleft anomalies should be considered. Our experience confirms that cervicotomy is a safe approach to parapharyngeal congenital lesions. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/19098537/Parapharyngeal_cyst:_considerations_on_embryology_clinical_evaluation_and_surgical_management_ L2 - https://doi.org/10.1097/SCS.0b013e318189724d DB - PRIME DP - Unbound Medicine ER -