Yazdi A Karimi, Sazgar A A, Noviri B B, Mahboubi H, Mojtahed M
Department of Otolaryngology, Head and Neck Surgury, Tehran University of Medical Sciences, Tehran, Iran.
B-ENT. 2011;7(3):169-71.
To evaluate the role of pre-operative infection in thyroglossal duct cyst recurrence and post-operative complications of Sistrunk procedure.
Medical records of 55 patients undergoing thyroglossal duct cyst excision from 1998 to 2005 were reviewed. The following data was collected: age at operation, gender, surgical technique, presence and length of infection prior to operation, time interval between resolution of infection and operation, recurrence, management of recurrence, and complications.
Forty-two patients (76.3%) had no recurrence following Sistrunk procedure, while 13 patients (23.7%) underwent one or more additional procedures due to recurrence. Our results indicate that 61.5% (8 of 13) of those with a failed Sistrunk had pre-operative thyroglossal cyst infection that lasted more than 6 months. In 92.3% of patients with recurrence, the interval between resolution of infection and time of operation was less than one month.
Effective treatment of thyroglossal duct cyst infection, at least one month pre-operatively, is warranted to reduce post-operative recurrence rate.
评估术前感染在甲状舌管囊肿复发及Sistrunk手术术后并发症中的作用。
回顾了1998年至2005年期间55例行甲状舌管囊肿切除术患者的病历。收集了以下数据：手术年龄、性别、手术技术、术前感染的存在情况及持续时间、感染消退至手术的时间间隔、复发情况、复发的处理方式及并发症。
42例患者（76.3%）行Sistrunk手术后未复发，而13例患者（23.7%）因复发接受了一次或多次额外手术。我们的结果表明，Sistrunk手术失败的患者中有61.5%（13例中的8例）术前甲状舌管囊肿感染持续超过6个月。在92.3%的复发患者中，感染消退至手术的时间间隔少于1个月。
为降低术后复发率，术前至少1个月有效治疗甲状舌管囊肿感染是必要的。
