Pelausa M E, Forte V
National Defence Medical Centre, Ottawa, Ontario.
J Otolaryngol. 1989 Dec;18(7):325-33.
The definitive surgical management of thyroglossal duct cysts (TGDC) was elucidated by Sistrunk in 1920. However, the procedure is often poorly performed. We reviewed the charts of 143 patients managed for TGDC at the Hospital for Sick Children. Toronto, between 1978-1988. These patients underwent 214 surgical procedures at HSC and elsewhere for cure. One hundred and five patients needed only one procedure. Thirty-eight patients had recurrent disease. These needed 109 procedures for cure. Inadequate surgery was the direct cause of recurrence. Areas of surgical failure included misdiagnosis, inadequate hyoid bone resection and persistent infra or suprahyoid tract remnants. Representative case samples are outlined with clinical, surgical and pathologic correlation. We recommend performing the complete, classic Sistrunk procedure for all cases of TGDC.
1920年，西斯屈克阐明了甲状舌管囊肿（TGDC）的确定性手术治疗方法。然而，该手术的实施往往效果不佳。我们回顾了1978年至1988年间在多伦多病童医院接受TGDC治疗的143例患者的病历。这些患者在病童医院及其他地方接受了214次手术以治愈疾病。105例患者仅需进行一次手术。38例患者出现复发性疾病。这些患者需要109次手术才能治愈。手术不充分是复发的直接原因。手术失败的部位包括误诊、舌骨切除不充分以及舌骨下或舌骨上管道残余持续存在。文中概述了具有临床、手术和病理相关性的代表性病例样本。我们建议对所有TGDC病例都采用完整的经典西斯屈克手术。
