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Keith E. Blackwell, MD; Thomas C. Calcaterra, MD

Arch Otolaryngol Head Neck Surg. 1994;120(4):417-421.

Abstract
Objective
To evaluate the role of functional neck dissection for treatment of cervical branchial remnants that are recurrent after previous surgical intervention.

Design
A retrospective review was undertaken of six patients undergoing functional neck dissection for excision of recurrent branchial anomalies treated over an 18-year period.

Setting
Academic tertiary referral medical center.

Participants
Six patients with recurrent branchial cysts, sinuses, or fistulas. Each participant previously had undergone between one and 14 ineffective surgical procedures.

Intervention
Each patient was treated by functional neck dissection.

Outcome Measures
Clinically noted complications and recurrences.

Results
There were no major complications. Minor complications included one postoperative wound infection and one transient spinal accessory nerve paresis. There were no recurrences.

Conclusions
Functional neck dissection is a safe and effective procedure for surgical management of recurrent cervical branchial remnants.

(Arch Otolaryngol Head Neck Surg. 1994;120:417-421)

Author Affiliations
From the Division of Head and Neck Surgery, UCLA School of Medicine.

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