Rattan K N, Kalra Vijay Kumar, Yadav Samar Pal Singh, Vashist Aarushi, Vashisth Swati
Department of Pediatric Surgery, Pt. B.D. Sharma PGIMS, Rohtak, Haryana India.
Department of Otorhinolaryngology, Pt. B.D. Sharma PGIMS, Rohtak, Haryana India.
Indian J Otolaryngol Head Neck Surg. 2020 Jun;72(2):184-186. doi: 10.1007/s12070-019-01742-7. Epub 2019 Oct 3.
Seventy one patients (43 children and 28 adults) of thyroglossal duct remnants (TGDRs) presented at a tertiary care institute from January 2001 to September 2017 were retrospectively analysed. The mean age of presentation was 7.15 years in children and 26.85 years in adults. The male to female ratio was 1.9:1 among children and 1.8:1 among adults. The most common presentation in children was a thyroglossal fistula (53.48%) whereas it was a painless cystic neck swelling (89.29%) in adults. All the children underwent a Sistrunk's operation whereas 78.57% of the adult patients underwent simple excision of cyst/fistula using the modified incision (Yadav's incision). Recurrence developed in one child and one adult patient who underwent Sistrunk's operation and none in the modified incision, these cases were treated with a second stage procedure. In conclusion, compared with adults, more children presented with a discharging thyroglossal fistula. The thyroglossal duct remnants can be managed successfully by simple excision in adults.
对2001年1月至2017年9月在一家三级医疗机构就诊的71例甲状舌管残余物（TGDRs）患者（43例儿童和28例成人）进行了回顾性分析。儿童的平均就诊年龄为7.15岁，成人为26.85岁。儿童男女比例为1.9:1，成人男女比例为1.8:1。儿童最常见的表现是甲状舌管瘘（53.48%），而成人则是无痛性颈部囊性肿胀（89.29%）。所有儿童均接受了Sistrunk手术，而78.57%的成年患者采用改良切口（Yadav切口）进行囊肿/瘘管的单纯切除术。接受Sistrunk手术的1例儿童和1例成人患者出现复发，改良切口组无复发，这些病例均接受了二期手术治疗。总之，与成人相比，更多儿童表现为甲状舌管瘘。成人的甲状舌管残余物可通过单纯切除成功治疗。
