[The diagnosis and surgical treatment of a lateral cyst and fistula of the neck].
Surgical treatment was performed in 66 patients with lateral cyst and 23 with congenital single brachiogenic cervical fistula. In 14 patients, a cyst was complicated by a cervical phlegmon, 17 had a complete fistula, 6--incomplete one. In cyst diagnosis, the clinical signs and puncture of a cyst is of crucial importance, in fistula diagnosis--its connection with the pharynx--introduction of a dye. Removal of the uncomplicated cyst, spontaneously opened cyst-phlegmon (in 58 patients) and fistula (in 20) was performed with the use of the most cosmetic oblique-transverse incision. A lateral cyst often becomes infected and is subject to removal immediately alter establishment of the diagnosis. It is preferable to operate the patients with a lateral congenital cervical fistula non-complicated by infection when they are under school age.
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Cheren'ko
D000293:Adolescent; D000328:Adult; D000368:Aged; D001935:Branchioma / Q000150:complications / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery; D002481:Cellulitis / Q000209:etiology / Q000601:surgery; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006258:Head and Neck Neoplasms / Q000150:complications / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged