Abstract
Objective: Conventional transcervical approach leaves a visible scar on the neck, regardless of the size of the incision. The aim of this study was to determine the safety and feasibility of a transaxillary or retroauricular approach for the excision of benign neck masses by comparing it to the conventional open approach.
Method: We prospectively compared the outcomes of endoscopic removal of benign neck lesions with the outcomes of conventional open surgery. Transaxillary approach was chosen for lesions mainly located in level III to V and the perithyroidal area and retroauricular approach was chosen for those located in level I or II area.
Results: Operation was successful in all patients in endo group without any significant intraoperative complications or conversion to open surgery. The operating time in the endo group was longer than in the conventional group (P = .010). The total amount (P = .689) and duration (P = .325) of drain between the 2 groups showed no significant difference. The mean duration of hospital stay was also comparable between the groups (P =.129). No significant difference was observed in the overall perioperative complications between the 2 groups. Cosmetic satisfaction evaluated with the graded scale showed much better results in the endo group (P = .000).
Conclusion: Endoscopic resection via the transaxillary or retroauricular approach is safe and feasible for various benign cervical lesions with excellent cosmetic results.
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