A cross-sectional evaluation of outcomes of pediatric branchial cleft cyst excision. (April 2019)

• Record Type: Journal Article
• Authors: Mattioni, Jillian; Azari, Sarah; Hoover, Travis; Weaver, Daniel; Chennupati, Sri Kiran
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 119(2019:Apr.)
• Page Start: 171
• Page End: 176
• Publication Date: 2019-04
• Subjects: Branchial cleft cyst -- National surgical quality improvement program -- Pediatric otolaryngology -- Pediatric surgery -- General surgery -- Otolaryngology; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2019.01.030
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: Objective: To examine complications following pediatric branchial cleft cyst excision by surgical specialty, demographics, and comorbid conditions. Methods: A retrospective review of the National Surgical Quality Improvement Program database was performed. Pediatric cases from January 1, 2015 through May 1, 2017 with a current procedural terminology code of 42810 (excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues) or 42815 (excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into the pharynx) were included. Statistical analysis was performed to assess associations between complications and surgical specialty, demographics, and comorbidities. Results: Of the 895 cases that met inclusion criteria, the median age was two years and there was an approximately equal number of males (46.8%) and females (53.2%). Forty-five patients (5.0%) experienced at least one 30-day complication, the most predominant of which was superficial surgical site infection. There was no statistically significant difference between complications and surgical specialty, complications and patient demographics, or complications and depth of excision. There was a statistically significant difference (p = 0.05) in the percentage of patients with a past medical history of developmental delay between those with at least one complication (11.1%) compared to those without any complications (4.2%). Conclusion and relevance: Branchial cleft excision is a generally safe procedure across surgical specialties and patient demographics. There is an association between a history of developmental delay and 30-day postoperative complications.