title: [Lymphadenectomy using dissection and protection of carotid sheath and main nerves in surgery for benign diseases in the neck].
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.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
authors.forename: J
authors.initials: J
authors.lastname: Wu
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
authors.forename: Y H
authors.initials: YH
authors.lastname: Liu
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
authors.forename: K L
authors.initials: KL
authors.lastname: Wu
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
authors.forename: X H
authors.initials: XH
authors.lastname: Li
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
authors.forename: C B
authors.initials: CB
authors.lastname: Gao
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
authors.forename: Y
authors.initials: Y
authors.lastname: Zhao
mesh_terms: D000328:Adult; D017577:Cutaneous Fistula / Q000601:surgery; D000071938:Fasciotomy; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery; D006391:Hemangioma / Q000601:surgery; D006732:Horner Syndrome / Q000209:etiology; D006801:Humans; D008069:Lipomatosis, Multiple Symmetrical / Q000601:surgery; D008197:Lymph Node Excision / Q000009:adverse effects / Q000379:methods*; D018191:Lymphangioma, Cystic / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009186:Myelin Sheath; D009333:Neck / Q000601:surgery*; D059351:Organ Sparing Treatments; D011183:Postoperative Complications / Q000209:etiology; D014388:Tuberculosis, Lymph Node / Q000601:surgery
keywords: Carotid arteries; Head and neck neoplasms; Jugular veins; Surgical procedures, operative