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Endoscopic axillo-breast approach for benign neck mass excision.

 Yoo Seob Shin  ;  Hyun Pil Chung  ;  Hyang Ae Shin  ;  Hyun Jin Lee  ;  Yoon Woo Koh  ;  Eun Chang Choi 
 LARYNGOSCOPE, Vol.122(3) : 559-564, 2012 
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Issue Date
Adolescent ; Adult ; Axilla/surgery* ; Breast/surgery* ; Endoscopy/methods* ; Female ; Follow-Up Studies ; Head and Neck Neoplasms/diagnosis ; Head and Neck Neoplasms/surgery* ; Humans ; Male ; Middle Aged ; Neck/surgery* ; Patient Satisfaction ; Prospective Studies ; Treatment Outcome ; Young Adult
Benign neck mass ; endoscopic surgery ; axillo-breast approach
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.
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1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Yoon Woo(고윤우)
Chung, Hyun Pil(정현필)
Choi, Eun Chang(최은창)
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