CAJ | 학술논문

Authors reported 38 cases of cervical cystic hydroma in children.One was treated by thorough incision of all the cysts and drained by rubber tissue,3 were operated on by resection but leaving parts of the cystic wall adhering to the carotid artery and jugular unresected.Follow-up of the incised case for 2 years and 4.5 years for the other 3 respectively revealed no recurrence.24 cases were operated on by thorough resection without any visible cyst wall left and parotidectomies were performed simultaneously in three cases,owing to the destruction of the glands by invading cysts.Facial paralysis occurred in these three parotidectomies,because of the damage of the mandibular bfanch of the nerve.The authors emphasized the importance of wide incision in all cases and preservation parts of the cyst wall adhering to the carotid artery,jugular vein,vagus nerve and facial nerve and thus keep them from damaging.The methods of dissecting the carotid artery,jugular vein and vagus nerve were also discussed in detail.