Short Original Article
Experience of diagnosis and treatment of lingual thyroglossal duct cyst
Dou Qianwen, Tian Xiufen
Published 2020-07-07
Cite as Chin J Otorhinolaryngol Head Neck Surg, 2020, 55(7): 683-686. DOI: 10.3760/cma.j.cn115330-20191118-00707
Abstract
ObjectiveTo explore and analyse the imaging examinations, clinical presentation, operative methods complication and the surgical outcomes of lingual thyroglossal duct cyst (LTGDC) .
MethodsThe clinical data of 30 patients with LTGDC were analyzed retrospectively from January 2015 to October 2018 at the First Affiliated Hospital of Zhengzhou University.
Results30 cases were treated with endoscopic coblation cauterization firstly. Follow-up for 7.5-45.0(25.4) months showed that 25 cases had no recurrence, 2 cases had no connection, 2 cases had recurrence once, and 1 cases had recurrence twice,the recurrence rate was 10.7%(3/28).Two patients recurred once, and the last operation was performed with endoscopic coblation cauterization, and no recurrence was found in the follow-up of 1 year; one patient recurred twice underwent the last operation with Sistrunk operation, and no recurrence was found in the follow-up of 1 year. There was no pharyngeal fistula and hoarseness in 28 patients.
ConclusionsFor LTGDC,especially, those of the first-episode children, endoscopic coblation cauterization is the first choice. Recurrent LTGDC can be treated by endoscopic coblation cauterization, so that patients with multiple recurrences can be considered the Sistrunk operation.
Key words:
Thyroglossal cyst; Endoscopic coblation cauterization; Sistrunk surgery
Contributor Information
Dou Qianwen
Department of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Tian Xiufen
Department of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
