Cricopharyngeal myotomy performed on a pediatric patient who had cricopharyngeal bar leading to dysphagia to solids. An open approach was taken in this patient rather than endoscopic due to the size of their airway. Upon opening of the anterior neck, subplatysmal flaps were elevated superiorly and inferiorly, then strap muscles were divided. The cricoid and thyroid cartilages were exposed which allowed for identification of associated muscles. The cricopharyngeus muscle was divided bilaterally to prevent recurrence of the bar. The straps were then reapproximated and the neck was closed in a layered fashion.
Video Author: Hayden Hairston
Branchial Cleft Cyst Excision
Branchial cleft cysts are a benign anomaly caused by incomplete obliteration of a primordial branchial cleft. They typically appear in childhood or adolescence, but can appear at any age. They present as a non-tender, fluctuant mass following an upper respiratory infection, most commonly at the anterior border of the sternocleidomastoid muscle. These lesions are thought to originate during the 4th week of gestation when the branchial arches fail to fuse. The second branchial cleft is the most common site (95%) and cysts from in this distribution can affect cranial nerves VII, IX, and XII.
Closed Nasal Reduction
Closed nasal reductions are the standard of care for displaced nasal bone fractures. Reduction should occur within 3 weeks of the initial injury, but after swelling has subsided. The success rate is 60-90% in uncomplicated cases, however 6-17% of patients will require a future septorhinoplasty.
This procedure was performed under general anesthesia.