O'Neil L M, Gunaratne D A, Cheng A T, Riffat F
Department of Surgery,Blacktown Hospital,Sydney,Australia.
Department of Otolaryngology,Head and Neck Surgery,Westmead Hospital,Sydney,Australia.
J Laryngol Otol. 2016 Jul;130 Suppl 4:S41-4. doi: 10.1017/S0022215116008239.
Thyroglossal duct cyst recurrence following resection is attributed to anatomical variability and residual thyroglossal ducts. In adults, thyroglossal duct cyst recurrence is extremely rare and a surgical solution is yet to be well explored. This paper describes our approach to the management of recurrent thyroglossal duct cysts and sinuses in adults using a wide anterior neck dissection.
A retrospective review was performed to identify adults who underwent a wide anterior neck dissection for recurrent thyroglossal duct cyst management between 1 January 2009 and 1 January 2015.
Six males and one female were included in the series (mean age, 26.4 ± 10.9 years). Recurrence occurred at a mean of 18 ± 9.8 months following primary surgical management (3 patients underwent cystectomy and 4 had a Sistrunk procedure). All patients subsequently underwent wide anterior neck dissection; there was no further recurrence over the 12-month average follow-up period.
This paper describes a wide anterior neck dissection technique for the management of recurrent thyroglossal duct cysts or sinuses in adults; this approach addresses the variable anatomy of the thyroglossal duct and is associated with minimal morbidity.
甲状腺舌管囊肿切除术后复发归因于解剖变异和残留的甲状腺舌管。在成人中，甲状腺舌管囊肿复发极为罕见，且手术解决方案尚未得到充分探索。本文描述了我们使用广泛的颈前区解剖术治疗成人复发性甲状腺舌管囊肿和瘘管的方法。
进行一项回顾性研究，以确定在2009年1月1日至2015年1月1日期间因复发性甲状腺舌管囊肿治疗而接受广泛颈前区解剖术的成人患者。
该系列纳入6名男性和1名女性（平均年龄26.4±10.9岁）。复发发生在初次手术治疗后平均18±9.8个月（3例患者接受了囊肿切除术，4例进行了Sistrunk手术）。所有患者随后均接受了广泛的颈前区解剖术；在平均12个月的随访期内未出现进一步复发。
本文描述了一种用于治疗成人复发性甲状腺舌管囊肿或瘘管的广泛颈前区解剖技术；该方法解决了甲状腺舌管的解剖变异问题，且发病率极低。
