Second branchial cyst in the parapharyngealspace: a case report

Auris Nasus Larynx. 2009 Jun;36(3):376-9. doi: 10.1016/j.anl.2008.06.005. Epub 2008 Sep 4.


Objective: We report the clinical findings and management of a large retro- and parapharyngeal branchial cyst in a 54-year-old man whose only complaint was a 12-month history of snoring.

Method: Case report and a review of the world literature concerning parapharyngeal cysts are presented.

Results: On computed tomography (CT) images, a well-marginated cystic mass was observed in the left retro- and parapharyngeal spaces, with displacement of the left internal and common carotid arteries. The cyst contained thick, sterile, yellowish pus, without malignant cells. We performed a transoral resection without any surgical complications. No recurrence was observed 2 years later.

Conclusion: Parapharyngeal branchial cysts are rare and often paucisymptomatic. The transoral approach can provide good exposure allowing complete resection without significant post-operative complications or cervical scarring.

MeSH terms

  • Branchial Region
  • Cysts / pathology*
  • Cysts / surgery
  • Humans
  • Male
  • Middle Aged
  • Oral Surgical Procedures
  • Pharyngeal Diseases / diagnostic imaging*
  • Pharyngeal Diseases / surgery
  • Tomography, X-Ray Computed