cleft cystectomy

Treatment of diseases: suppurative mumps acute suppurative mumps Indication The common site of the cleft palate is at the leading edge of the upper third of the sternocleidomastoid muscle. It is a benign lesion, but it can be malignant, and it can also be combined with infection, so it should be removed surgically. Infected patients should be treated early after acute inflammation control. Preoperative preparation B-ultrasound and cyst puncture should be performed before surgery to confirm the diagnosis and understanding of the relationship between cyst and carotid artery. Surgical procedure Incision A longitudinal incision is made along the anterior border of the sternocleidomastoid. The length of the incision is equal to or slightly longer than the size of the cyst. A curved incision can also be made under the mandibular angle and on the surface of the cyst. 2. Reveal the cyst Cut the skin, subcutaneous tissue and platysma according to the incision design, ligature and cut the external jugular vein, separate the sternocleidomastoid muscle located in the shallow surface of the cyst, and retract it backward to reveal the cyst. 3. Remove the cyst Beginning from the bottom of the cyst, the internal jugular vein and carotid artery, which reveal the deep surface of the cyst, are gradually separated and then gradually separated upward along the wall of the capsule. Because the wall often adheres to the internal jugular vein, it is advisable to perform blunt separation, and care should be taken to avoid damage to the internal jugular vein, common carotid artery, internal and external carotid artery and vagus nerve. It is also necessary to avoid damage to the accessory nerve when separating the cyst and the deeper posterior aspect of the sternocleidomastoid muscle. The anterior wall of the cyst and the total vein of the face sometimes have adhesions, so care should be taken when separating the anterior wall. If necessary, the total vein of the cut surface can also be ligated. When separating to the deep side of the second abdominal muscle, the cyst should be separated from the muscle abdomen, and care should be taken to avoid damage to the hypoglossal nerve. By continuing to separate, the cyst can be completely removed. However, if the cyst protrudes through the internal and external carotid artery to the pharyngeal wall, it needs to be completely removed when it is separated into the pharyngeal wall. If the cyst is found to have a tube connected to the pharynx, the tube needs to be removed, and the pharyngeal mucosa is sutured. 4. Stitching Rinse the wound cavity, completely suspend the blood, layer the suture, and place the drainage strip. complication The main complications of cleft cystectomy include major neurovascular injury in the neck and postoperative bleeding. The causes and precautions are as described above.