Robot-assisted excision of cervical cystic hygroma through a retroauricular hairline approach: a case report

J Med Case Rep. 2016 Jun 9:10:154. doi: 10.1186/s13256-016-0929-0.

Abstract

Background: Cystic hygroma is a rare benign abnormality of the lymphatic system generally occurring in young children less than 2 years old. The standard transcervical surgical treatment of cystic hygroma may often leave a permanent scar in the neck region.

Case presentation: We report a case of cystic hygroma in a 19-month-old Asian baby girl successfully treated with robot-assisted excision through a hairline neck-lift approach. We present the use of the Yang's retractor as an instrumental advancement to this surgical approach.

Conclusions: Treatment options for cystic hygroma may be surgical or nonsurgical. We report a case of cystic hygroma in a 19-month-old child successfully treated with robot-assisted excision through a small concealed retroauricular hairline approach. This is the first report in the medical literature of treating cystic hygroma with a minimally invasive robot-assisted excision via a small, concealed, hairline incision.

Keywords: Cystic hygroma; Minimally invasive surgery; Robotic-assisted surgery.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Head and Neck Neoplasms / surgery*
  • Humans
  • Infant
  • Lymphangioma, Cystic / surgery*
  • Minimally Invasive Surgical Procedures / methods*
  • Neck / surgery
  • Neck Dissection / methods
  • Robotics*
  • Treatment Outcome