Kavitha P Palled

Abstract

Cysts of the thoracic duct located in the supraclavicular region are uncommon. To date only 12 cases in this topographic area have been described in the literature. Lymphocoele of the thoracic duct, alternatively referred to as a thoracic duct cyst, is an uncommon abnormality that can present rarely as a left neck mass arising from the supraclavicular fossa. Recognition of the aetiology of such a neck mass on imaging is crucial to avert unnecessary intervention and, where surgical intervention is planned, to avoid both unexpected findings at surgical exploration and secondary complications. We present such a case of a cervical neck mass. Thoracic duct cyst are relatively unclear etiology. B The first reported case of thoracic duct cyst was in1964 by steinbergetal. Since that time, only 32 cases have been reported in the literature with the largest case series consisting of only 5 patients. 2 The most common approach to managing these lesions is surgical excision with ligation of the thoracic duct. We report a case of thoracic duct cyst involving the left supraclavicular fossa. Keyword: Cyst.

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Abstract

Introduction: Facial paralysis is an unsatisfactory pathology to treat, and the results of neural reconstruction are unsatisfactory and over the last few decades several techniques static and dynamics, have been performed to improve facial asymmetry and functionality alter suffering facial paralysis. Methods: we presenting a case report to evaluate the benefits of a new form of facial suspension, with prolene sutures traction technique. We performed on a patient with partial facial palsy. Results: six months after surgery, patient have improved facial asymmetry, mastication and speech production which have led to a higher self-esteem and major social interaction. Conclusions: static facial suspension with prolene sutures is a better alternative to dynamic techniques in patients who don’t want or can’t undergo more complex surgeries. Keywords: Facial palsy, Facial nerve, Static suspension, Re-animation.

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