Clinical Analysis of Congenital Thyroglossal Duct Cyst or Fistula in 41 Patients

Author:YANG Ming-bao, ZHAO Hai-liang, ZENG Xian-hai,et al.

affiliation:Shenzhen Institute of Otolaryngology, Hospital of Otolaryngology,Longgang District of Shenzhen City, Shenzhen 518172, Guangdong Province, China

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Abstract

Objective To study the etiology, clinical manifestation and the diagnosis and treatment of congenital thyroglossal duct cyst or fistula in order to improve the level of diagnosis and treatment. Methods The clinical data of 41 cases who were diagnosed as thyroglossal duct cyst or fistula were retrospectively studied. Results Postoperative followup of 3 months to 18 months, an average of 6.3 months.37 cases received Sistrunk operation, with 2 cases relapsed and received modified Sistrunk operation, all of them had primary healing.3 cases direct received modified Sistrunk operation,1 case of thyroglossal cyst in the base of tongue with support laryngoscope under laser resection of the cyst and was completely removed with transcervical Sistrunk procedure. Conclusion The important basis of diagnosis and differential diagnosis in congenital thyroglossal duct cyst or fistula is preoperative definite its location and direction, the classic Sistrunk operation is the effective method of treatment.

【Keyword】 Thyroglossal Duct Cyst or Fistula; Congenital; Sistrunk Operation; Treatment

【Chart number】R781.5+7

【Document Identification Number】A

【DOI】10.3969/j.issn.1009-3257.2017.06.001