Journal Article

Branchial cleft cyst encircling the hypoglossal nerve

Kristin L. Long, Carol Spears and Daniel E. Kenady

in Journal of Surgical Case Reports

Volume 2013, issue 9 Published in print September 2013 |
Published online September 2013 | e-ISSN: 2042-8812 | DOI:

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Branchial cleft anomalies are a common cause of lateral neck masses and may present with infection, cyst enlargement or fistulas. They may affect any of the nearby neck structures, causing compressive symptoms or vessel thrombosis. We present a case of a branchial cleft cyst in a 10-year-old boy who had been present for 1year. At the time of operation, the cyst was found to completely envelop the hypoglossal nerve. While reports of hypoglossal nerve palsies due to external compression from cysts are known, we believe this to be the first report of direct nerve involvement by a branchial cleft cyst.

Journal Article.  723 words.  Illustrated.

Subjects: Oral and Maxillofacial Surgery

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