Unusual Isolated Parapharyngeal Second Branchial Cleft Cyst: A Case Report and Literature Review

Figure 2

Intraoperative transoral excision views. (a) Vertical lateral pharyngeal wall incision exposing submucosal cyst. Soft palate catheter-retracted and ipsilateral tonsil suture-retracted to improve exposure. (b) Cyst wall grasped following planned evacuation of contents to facilitate lateral and superior blunt dissection off major neck neurovascular structures. (c) Resultant cavity filled with Fibrillar™ Surgicel® layers before pharyngeal incision is closed. (d) BCC surgical specimen after complete excision.

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