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Thursday 20 June 2013

Branchial Cyst

Branchial Cyst Excision

Branchial Cyst Excision


Branchial Cyst Excision


Branchial Cyst

Common Age Group- First or second decades of life
Site- Along the Anterior border of the Sterno Mastoid at the junction between Upper one third and lower two third.
Shape-Spherical or Ovoid
Surface-Smooth
Consistency-Soft
Transillumination test- Positive if it contains clear fluid
Mobility- Restricted mobility
Plane of the Swelling- Deep to Sterno Mastoid Muscle
Compressibility- Negative
Aspiration fluid contains-Cholesterol crystals

Differential Diagnosis:
  • Lymph Nodular Enlargement
  • Dermoid Cyst
  • Vascular/ Lymphatic Malformations

Complication: Infection
Treatment: Complete Surgical Excision under General Anesthesia.
(Incomplete excision can result in recurrence.)
Cystic swelling containing Cholesterol Crystals in the aspiration fluid:-
  1. Branchial Cyst
  2. Thyroglossal cyst
  3. Hydrocele
  4. Cystic Hygroma
  5. Detigerous Cyst (- arises from an Un erupted tooth )
  6. Dental Cyst (- is a complication of Dental caries )

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