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Endoscopic axillo-breast approach for benign neck mass excision.

Authors
 Yoo Seob Shin  ;  Hyun Pil Chung  ;  Hyang Ae Shin  ;  Hyun Jin Lee  ;  Yoon Woo Koh  ;  Eun Chang Choi 
Citation
 Laryngoscope, Vol.122(3) : 559-564, 2012 
Journal Title
 Laryngoscope 
ISSN
 0023-852X 
Issue Date
2012
Abstract
OBJECTIVES/HYPOTHESIS: Benign neck masses are usually found in younger patients, who are more likely to be concerned about postoperative scars. Until recently, a direct approach through a transcervical incision along the mass has been accepted as a standard surgical procedure for the benign neck mass. However, this conventional transcervical approach leaves a visible scar on the neck, regardless of the size of the incision. We assumed that an endoscopic gasless axillo-breast (A-B) approach might be a good alternative method for excision of benign neck masses. The aim of this study was to determine the safety and feasibility of a gasless A-B approach for the excision of benign neck masses by comparing it to the conventional open approach. STUDY DESIGN: Case series. METHODS: We prospectively compared the outcomes of endoscopic removal of benign neck lesions with the outcomes of conventional open surgery. RESULTS: Most patients in the endoscopy group were women, and the mean age was younger than in the open group. Although operative time was longer and amount of drainage was larger in the endoscopy group, there was no statistically significant difference in duration of drainage, hospitalization period, complication rate, and pain score. Endoscopically treated patients were more satisfied with the cosmetic outcome of the surgery than patients in the conventional open group. CONCLUSIONS: Endoscopic excision via an A-B approach without gas insufflation could be a good substitute for conventional transcervical excision in selected cases of benign neck lesion.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91386
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/lary.22462/abstract
DOI
10.1002/lary.22462
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실)
Yonsei Authors
고윤우(Kho, Yoon Woo)
정현필(Chung, Hyun Pil)
최은창(Choi, Eun Chang)
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