Rosas Ana, McCrary Hilary C, Meier Jeremy D, Muntz Harlan R, Park Albert H
Division of Otolaryngology - Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.
Division of Otolaryngology - Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.
Int J Pediatr Otorhinolaryngol. 2019 Nov;126:109604. doi: 10.1016/j.ijporl.2019.109604. Epub 2019 Jul 26.
This case series aims to determine the optimal surgical approach for pediatric laryngeal saccular cysts. A retrospective chart review of patients who underwent surgical treatment for laryngeal saccular cysts was completed; 5 patients were diagnosed and surgically treated. Treatment approaches included aspiration, supraglottoplasty, injection of bleomycin, endoscopic subtotal resection (marsupialization with the laser or endoscopic instrumentation of the cyst), endoscopic extended subtotal excision (subtotal resection plus removal of false vocal fold with lasering or coblation of the inner cyst wall), and transcervical approaches for resection. Based on our outcomes, an endoscopic extended subtotal resection of the cyst will achieve the best outcomes for cysts confined to the larynx or for Type 1 cysts. A transcervical approach for resection of the cyst will achieve the best outcomes for Type 2 cysts that extend into the neck or are extralaryngeal.
本病例系列旨在确定小儿喉囊肿的最佳手术方法。对接受喉囊肿手术治疗的患者进行了回顾性病历审查；5例患者被诊断并接受了手术治疗。治疗方法包括抽吸、声门上成形术、博来霉素注射、内镜下次全切除术（囊肿袋形缝合术，使用激光或内镜器械处理囊肿）、内镜扩大次全切除术（次全切除术加切除假声带，使用激光或等离子刀切除囊肿内壁）以及经颈入路切除术。根据我们的结果，对于局限于喉部的囊肿或1型囊肿，内镜扩大次全切除术将取得最佳效果。对于延伸至颈部或位于喉外的2型囊肿，经颈入路切除术将取得最佳效果。
