DOI: 10.36347/sasjm2017.v03i02.001

Pages: Page: 32-35

The recent advances in the endoscopic surgeries have given an opportunity to head and neck surgeons to explore the use of endoscopes in the neck. As compared to the classical method for brachial sinus excision using two step ladder incisions. An endoscopic approach for branchial sinus excision is described using single incision. This procedure is safe and can be done easily with better cosmesis. A good anatomical knowledge and experience in head and neck procedures are must for safe branchial sinus excision. The steps for the procedure involves a) small 5 cm incision in the neck leaving the island of skin around sinus b) Delineating the tract by dissecting the soft tissue around it c) dissecting the tract under endoscopic guidance near the carotid bifurcation and till the pharynx. d) Intraoral dissection from pharynx under endoscopic guidance using sharp instruments. Two patients were operated using this technique and the results are excellent. There were no post operative complication, rapid healing and less scar mark. With advances in the use of endoscopes in all the fields, it also has its applications in the neck. The transcervical endoscopic technique using single incision can be the choice for excision of branchial sinus in the neck with good cosmetic results