Title: [Analysis of 54 cases of thyroglossal duct cyst resection with hyoid bone preservation].
Abstract: Objective:To investigate the efficacy, complications and recurrence rate of thyroglossal duct cyst resection with hyoid preservation in children. Method:Fifty-four children with thyroglossal duct cyst underwent cervical color Doppler ultrasound, CT and/or MRI before operation to make a definite diagnosis.Hyoid-preserving thyroglossal cyst resection was performed in all children.In 51 cases, the cyst wall was close to the hyoid bone, and the thin layer of the hyoid bone surface was removed, while the other 3 cases had no definite association with hyoid bone, only cysts and branches were resected.In the cases where the cyst was close to the hyoid bone, fistula tissue was found in the suprahyoid muscle group in 4 cases, which were carefully separated and excised. Result:All patients had no complications after operation, and the incision healed in the first stage. Postoperative pathology: 51 cases were thyroglossal duct cysts and 3 cases were epidermoid cysts.Follow-up for 1 years to 3 years showed that only 1 case had recurrence(2.0%,1/51). Conclusion:Postoperative recurrence of thyroid hyoid cysts does not depend on whether the hyoid bone is removed, but on the residue of its branches.The significance of hyoid bone preservation is to narrow the scope of operation, reduce trauma and complications, and avoid the impact of hyoid bone loss on vocal and swallowing function.目的:探讨保留舌骨的儿童甲状舌管囊肿切除术的疗效、并发症及复发率。 方法:54例甲状舌管囊肿患儿,术前均行颈部彩超、CT和(或)MRI检查以明确诊断。均采用保留舌骨的甲状舌管囊肿切除术。术中发现51例患儿囊肿与舌骨中段腹侧紧贴,切除囊肿及其与之紧贴的舌骨表面的薄层骨质;余3例囊肿与舌骨无关联,仅切除囊肿。囊肿与舌骨紧贴病例中,4例舌骨上肌群中有瘘管组织,予以精细分离和切除。 结果:所有患儿术后均无并发症,切口均为一期愈合。术后病理:51例为甲状舌管囊肿、3例为表皮样囊肿。随访1~3年,仅有1例复发(2.0%)。 结论:甲状舌管囊肿术后复发并非取决于是否切除舌骨,而是取决于其分支的残留。保留舌骨的意义在于减少并发症,保留解剖标志。.
Publication Year: 2020
Publication Date: 2020-06-01
Language: en
Type: article
Indexed In: ['pubmed']
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