In the Ippolito's case series, most common presentation was an asymptomatic cystic lesion that was detected incidentally during cervicotomy
to treat a thyroid nodule.
With the animal in the supine position after a vertical midline cervicotomy, the infrahyoid muscles were separated from the tracheal axis.
After placing the animal in the supine position, we performed a cervicotomy with a midline vertical incision, allowing access to the infrahyoid muscles, which we separated from the tracheal axis.
After placing the animal in the supine position, we performed a cervicotomy via a midline vertical incision to allow access to the infrahyoid muscles, which we separated from the tracheal axis.
All patients underwent cervicotomy and/or thoracotomy:
Seventeen patients underwent bilateral cervicotomy (surgical drainage of cervical collections via a wide [Kocher's] incision), and 2 others underwent unilateral cervicotomy.
Of the 15 patients with mediastinal involvement, only 4 underwent cervicotomy alone.
Two patients underwent bilateral cervicotomy via two small incisions at the midline of the neck.
Based on our experience, we conclude that (1) cervicotomy alone is sufficient for drainage in cases of cervical phlegmon or mediastinal involvement that are limited to a single superior mediastinal space and (2) thoracotomy and drainage of mediastinal collections is necessary when mediastinal sepsis is more extensive.
Bilateral cervicotomy and drainage is the surgical treatment of choice for cervical fasciitis without mediastinitis, as has been widely reported in the literature.
5(p329), 8(pp164-5)) His reputation is only slightly tarnished by his promotion of certain now-discredited techniques, such as cervicotomy
for sterility and dysmenorrhea (8(pp147-52)) and ovarian removal ("ovariotomy," or "Battey's procedure") for various physical and psychosomatic conditions then termed "hysterical diseases.
17) compared conventional cervicotomy
with bilateral exploration and frozen section tissue analysis in 18 patients with primary hyperparathyroidism to video-assisted surgery with intraoperative PTH measurements performed in 20 patients.