Excision of neck masses involves surgically removing benign or indeterminate growths in the cervical region—such as enlarged lymph nodes, congenital branchial cleft cysts, or dermoid cysts—to establish a definitive diagnosis and prevent complications (infection, compression, or rare malignant transformation). This procedure requires careful dissection around critical structures including nerves, blood vessels, and salivary glands to achieve complete removal while minimizing collateral damage.
Dr. Singhavi begins with high‐resolution ultrasound and, when indicated, MRI to characterize the mass’s size, depth, and relationship to surrounding anatomy. Fine-needle aspiration cytology or core biopsy may be performed to guide surgical planning. Under general anesthesia, a tailored skin incision—often along natural neck lines—is made for optimal exposure and cosmetic healing. Using microsurgical instruments and loupe magnification, Dr. Singhavi meticulously isolates the lesion, preserving adjacent nerves (spinal accessory, marginal mandibular, or cervical plexus branches) and vessels. Complete excision is confirmed by intraoperative inspection and, if needed, frozen-section analysis. A small drain may be placed to prevent hematoma or seroma formation. Postoperatively, patients receive wound care instructions, a short course of antibiotics, and guidance on scar management.
