Branchial Cyst Surgery or Fistula Sinus Excision: What You Need to Know

Branchial cyst or branchial cleft cysts are epithelial cysts that are congenital in nature. These cysts arise at the side of the neck as a result of the failure of eradication of the branchial cleft, the second one, during embryonic development.

A Brief Introduction

During the fourth week of embryonic development, four branchial cleft starts developing that forms 5 ridges known as pharyngeal or branchial arches. These ridges have a role to play in the formation of the neck, head, and thorax. The second arch grows below the first one and covers the third and fourth ultimately. These buried clefts form ectoderm-lined cavities. These involute normally around the 7th week of development. If a portion doesn’t involute properly or completely, the remnant which is entrapped forms a cyst.

if you are based in Hyderabad and want to undergo a Branchial Cyst or Fistula Sinus Excision surgery in Hyderabad

, it is the most recommended treatment option for this. However, it is avoided in the cases of acute infection or if there is an abscess. In an episode of abscess, drainage of the abscess and surgical incision is prescribed along with the use of antibiotics.

Branchial Cyst Surgery: What does it Include and How it it Done?

Surgery is the most recommended treatment for a branchial cyst, as already mentioned above. Usually, a horizontal incision is done in a neck crease, after applying general anesthesia.

The number of horizontal incisions can be more than one as well, though this isn’t a common one. This is known as stepladder or stairstep incisions. This helps in fully dissecting out the painful path of the cleft cysts.

This surgery is not usually done unless the patient is at least 3 months of age.

The branchial cleft cyst tract might extend to the back of the patient’s throat, known as pharynx. In such cases,  branchial cyst or fistula sinus excision surgeons in Hyderabad and other places opt for endoscopic visualization. This ensures complete removal of the remnant tract and is done through the mouth. If the tract extends to the patient’s tonsillar bed, tonsillectomy is included.

Patients might be allowed to leave the hospital on the same day or the next day, depending on the location and size of the lesion, and also on how complex the surgery was. A small drain is placed on the wound, typically, and kept there for 1-2 days. The patient will most likely feel a little uncomfortable after the surgery and it’s going to pain a little. Pain medicine is usually prescribed. Removal of the stitches is always not necessary. If there is a requirement to remove the stitches, then that is done after a week.

After the drain is removed, the patient can take a sponge bath or even shower. Complete recovery after the surgery usually takes about a week. The patient needs to visit the doctor after 1-2 weeks to check how the wound is healing.

Possible Complications

When you opt for trusted clinics like  PSTakeCare, there is no risk involved. Though the surgery involves dissection in close proximity to important nerves and vessels, it doesn’t involve any major complications, when done in the right way.

A little bit of pain is normal after any surgery. However, if the pain doesn’t increase or decrease, it may be a sign of infection. The biggest complication is the risk of recurrence of the cyst. It is important to get it done from the right place to avoid such complications.