Theory and practice of laparoscopic surgery against omohyoid muscle syndrome

Lateral Neck Bulging and Pain on Swallowing in a Young Man

“…3,4 Treatments for OMS include local injections of BTX or surgical treatment (OH resection by endoscopic or external approaches), with no symptom recurrence after surgery. 5,6 The differential diagnoses for OMS include cervical chyloma, pseudoaneurysm, and traumatic cervical cystic hygroma. Cervical chyloma is an infrequent pseudocystic structure, which arises from the thoracic duct or its tributaries after a neck trauma or surgery, especially on the left side.…”

“…Real-time ultrasonography imaging is a key diagnostic tool because it can demonstrate anterolateral displacement of the SCM by a thickened omohyoid muscle during swallowing . Treatments for OMS include local injections of BTX or surgical treatment (OH resection by endoscopic or external approaches), with no symptom recurrence after surgery …”