Protection for great auricular nerve during surgery for first branchial cleft anomaly in children_West China Medical Journal

Authors：

CHEN Min ^1,2 , ZHENG Meijun ¹ ,  LI Wen ¹ , CHEN Yuezhu ¹ , YANG Liu ¹

1. Department of Otolaryngology Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Otolaryngology Head & Neck Surgery, Chengdu Shangjin Nanhu Hospital, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Wen, Email: church.ent.wc@163.com

Keywords：

First brachial cleft anomaly; Great auricular nerve; Surgery; Function; Protection

DOI：

10.7507/1002-0179.201704191

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

ObjectiveTo explore the feasibility to protect great auricular nerve during surgery for first branchial cleft anomaly in children.MethodsThe data of 17 cases of first branchial cleft cyst, sinus or fistula admitted to West China Hospital of Sichuan University from September 2005 to May 2015 were reviewed. The extent of lesion was demonstrated by enhanced CT before operation. Later surgery further proved that the middle ear and mastoid process was not involved in any of the cases. During surgery, some branches of great auricular nerve were dissected and spared. The cyst, sinus or fistula was obliterated completely while the whole or part of the parotid gland was preserved. The patients were followed-up from half a year to three years with mean time of 2 years and 1 month.ResultsNo recurrence or facial paralysis were found in all patients after surgery. Twelve patients had no paresthesia in the area innervated by great auricular nerve, five patients experienced numbness of ear lobe or inferior 1/3 of the auricle.ConclusionIt is feasible to protect some branches of great auricular nerve during the operation for first branchial cleft anomaly, which does not hinder the thoroughness of the resection for the lesion, and helps to improve the children’s quality of life.

Citation： CHEN Min, ZHENG Meijun, LI Wen, CHEN Yuezhu, YANG Liu. Protection for great auricular nerve during surgery for first branchial cleft anomaly in children. West China Medical Journal, 2018, 33(3): 321-324. doi: 10.7507/1002-0179.201704191 Copy

1.	Bajaj Y, Tweedie D, Ifeacho S, et al. Surgical technique for excision of first branchial cleft anomalies: how we do it. Clin Otolaryngol, 2011, 36(4): 371-374.
2.	Bajaj Y, Ifeacho S, Tweedie D, et al. Branchial anomalies in children. Int J Pediatr Otorhinolaryngol, 2011, 75(8): 1020-1023.
3.	D’Souza AR, Uppal HS, De R, et al. Updating concepts of first branchial cleft defects: a literature review. Int J Pediatr Otorhinolaryngol, 2002, 62(2): 103-109.
4.	胡永杰, 李亚东, 曲行舟, 等. 鳃裂囊肿 (瘘)284 例临床分析. 上海口腔医学, 2008, 17(5): 461-464.
5.	高燕, 李文, 易雪莲, 等. 腮腺肿瘤术中保留耳大神经分支的临床分析. 华西医学, 2015, 30(1): 100-101.
6.	卢永田, 苗北平, 许安廷. 第一鳃裂囊肿及瘘管的诊断治疗. 山东大学耳鼻喉眼学报, 2007, 21(5): 456-458.
7.	杨长东, 冯凌, 马泓智, 等. 面神经解剖腮腺部分切除治疗第一鳃裂瘘管. 中华耳科学杂志, 2012, 10(3): 338-339.
8.	Chan KC, Chao WC, Wu CM. Surgical management of first branchial cleft anomaly presenting as infected retroauricular mass using a microscopic dissection technique. Am J Otolaryngol, 2011, 33(1): 20-25.
9.	何慧媛, 赵昱, 陈晓栋, 等. 面神经监护在复杂第一鳃裂瘘切除术中的应用. 现代口腔医学杂志, 2013, 27(4): 196-199.
10.	张光平, 钱静, 陈颖坤, 等. 面神经解剖在第一鳃裂瘘管切除术中的意义. 中国耳鼻咽喉颅底外科杂志, 2008, 14(1): 32-34.
11.	黄超洋, 谢壮志, 沈国民, 等. 面神经解剖切除复发性第一鳃裂瘘的治疗体会. 临床耳鼻咽喉头颈外科杂志, 2008, 22(7): 330-330.
12.	孔旭辉, 鲍学礼, 黄永久, 等. 先天性第一鳃裂瘘 14 例报告. 中华耳科学杂志, 2007, 5(2): 186-188.
13.	李波, 邹剑, 郑虹, 等. 第一鳃裂瘘管切除术中面神经解剖的临床意义. 中国耳鼻咽喉头颈外科, 2012, 19(4): 179-181.
14.	Yang HM, Kim HJ, Hu KS. Anatomic and histological study of great auricular nerve and its clinical implication. J Plast Reconstr Aesthet Surg, 2015, 68(2): 230-236.
15.	George M, Karkos PD, Dwivedi RC, et al. Preservation of greater auricular nerve during parotidectomy: sensation, quality of life, and morbidity issues. A systematic review. Head Neck, 2014, 36(4): 603-608.

1. Bajaj Y, Tweedie D, Ifeacho S, et al. Surgical technique for excision of first branchial cleft anomalies: how we do it. Clin Otolaryngol, 2011, 36(4): 371-374.
2. Bajaj Y, Ifeacho S, Tweedie D, et al. Branchial anomalies in children. Int J Pediatr Otorhinolaryngol, 2011, 75(8): 1020-1023.
3. D’Souza AR, Uppal HS, De R, et al. Updating concepts of first branchial cleft defects: a literature review. Int J Pediatr Otorhinolaryngol, 2002, 62(2): 103-109.
4. 胡永杰, 李亚东, 曲行舟, 等. 鳃裂囊肿 (瘘)284 例临床分析. 上海口腔医学, 2008, 17(5): 461-464.
5. 高燕, 李文, 易雪莲, 等. 腮腺肿瘤术中保留耳大神经分支的临床分析. 华西医学, 2015, 30(1): 100-101.
6. 卢永田, 苗北平, 许安廷. 第一鳃裂囊肿及瘘管的诊断治疗. 山东大学耳鼻喉眼学报, 2007, 21(5): 456-458.
7. 杨长东, 冯凌, 马泓智, 等. 面神经解剖腮腺部分切除治疗第一鳃裂瘘管. 中华耳科学杂志, 2012, 10(3): 338-339.
8. Chan KC, Chao WC, Wu CM. Surgical management of first branchial cleft anomaly presenting as infected retroauricular mass using a microscopic dissection technique. Am J Otolaryngol, 2011, 33(1): 20-25.
9. 何慧媛, 赵昱, 陈晓栋, 等. 面神经监护在复杂第一鳃裂瘘切除术中的应用. 现代口腔医学杂志, 2013, 27(4): 196-199.
10. 张光平, 钱静, 陈颖坤, 等. 面神经解剖在第一鳃裂瘘管切除术中的意义. 中国耳鼻咽喉颅底外科杂志, 2008, 14(1): 32-34.
11. 黄超洋, 谢壮志, 沈国民, 等. 面神经解剖切除复发性第一鳃裂瘘的治疗体会. 临床耳鼻咽喉头颈外科杂志, 2008, 22(7): 330-330.
12. 孔旭辉, 鲍学礼, 黄永久, 等. 先天性第一鳃裂瘘 14 例报告. 中华耳科学杂志, 2007, 5(2): 186-188.
13. 李波, 邹剑, 郑虹, 等. 第一鳃裂瘘管切除术中面神经解剖的临床意义. 中国耳鼻咽喉头颈外科, 2012, 19(4): 179-181.
14. Yang HM, Kim HJ, Hu KS. Anatomic and histological study of great auricular nerve and its clinical implication. J Plast Reconstr Aesthet Surg, 2015, 68(2): 230-236.
15. George M, Karkos PD, Dwivedi RC, et al. Preservation of greater auricular nerve during parotidectomy: sensation, quality of life, and morbidity issues. A systematic review. Head Neck, 2014, 36(4): 603-608.

West China Medical Journal

Protection for great auricular nerve during surgery for first branchial cleft anomaly in children

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content