Ogunkeyede Segun Ayodeji, Ogundoyin Olakayode Olaolu
Department of Otorhinolaryngology, College of Medicine, University of Ibadan, Ibadan, Nigeria.
University College Hospital, Ibadan, Nigeria.
Pan Afr Med J. 2019 Nov 20;34:154. doi: 10.11604/pamj.2019.34.154.18765. eCollection 2019.
Thyroglossal duct cyst is a non-odontogenic congenital developmental cyst. It is predominantly a midline anterior neck swelling in children and total excision of the tracts prevents recurrence. Retrospective hospital record analysis of patients managed with histopathology results of thyroglossal cyst between 2003 and 2018. Comparing outcomes and technique of thyroglossal cyst excision in a resource challenged environment. A total of 37 patients comprising 22(59.5%) males and 15(40.5%) females (M:F 1.4:1) with age range of 13 days to 55 years (median 6 years) were managed. The majority were children less than 10 years of age. They all presented with a fluctuant midline progressive anterior neck swelling, in addition to anterior neck ulcer 1(2.7%), discharging sinuses 3(8.1%) and thyroglossal cyst duct infections, which were managed successfully with antibiotics. Central compartment neck dissection with excision of mid-portion of the hyoid bone was performed in all the patients. Rupture of thyroglossal duct cysts was observed in 7(18.9%) at surgery, but there was no recurrence. Surgical drain was not used and most patients were discharged within 48 hours postoperatively. Thyroglossal duct cyst was confirmed at histology without any evidence of mitotic changes. There was no recurrence for the Sistrunk's procedure in all specialties. The modification of the Sistrunk's procedure with mid-anterior neck dissection is effective in excising a thyroglossal duct cyst, hence preventing recurrence. Non-usage of wound drains and short hospital stay are cost effective.
甲状舌管囊肿是一种非牙源性先天性发育性囊肿。它主要表现为儿童颈部前方中线处肿胀，完整切除囊肿管道可防止复发。对2003年至2018年间接受甲状舌管囊肿组织病理学检查的患者进行回顾性医院记录分析。在资源有限的环境中比较甲状舌管囊肿切除的结果和技术。共治疗37例患者，其中男性22例（59.5%），女性15例（40.5%）（男:女为1.4:1），年龄范围为13天至55岁（中位数为6岁）。大多数为10岁以下儿童。他们均表现为颈部前方中线处波动性进行性肿胀，此外还有1例（2.7%）颈部前方溃疡、3例（8.1%）窦道形成及甲状舌管囊肿感染，经抗生素治疗均成功治愈。所有患者均行中央区颈部清扫并切除舌骨中段。手术中观察到7例（18.9%）甲状舌管囊肿破裂，但无复发。未使用手术引流，大多数患者术后48小时内出院。组织学检查证实为甲状舌管囊肿，无任何有丝分裂改变的证据。所有专科行Sistrunk手术均无复发。采用颈部前方中线清扫改良的Sistrunk手术在切除甲状舌管囊肿方面有效，从而可防止复发。不使用伤口引流和缩短住院时间具有成本效益。
