Roh Jong-Lyel
Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Gyeonggi-do, 13496, Republic of Korea.
World J Surg. 2022 Jun;46(6):1431-1437. doi: 10.1007/s00268-022-06493-1. Epub 2022 Feb 23.
Thyroglossal duct cyst (TGDC) is the most common congenital cyst in the neck and is removed by the Sistrunk procedure. This surgery involves a horizontal skin incision over the cyst that may leave a noticeable scar on the front of the neck. Therefore, this study examined the clinical outcomes and cosmetic benefits of the Sistrunk procedure by an incision in the submental area that is not easily visible from the front.
This observational study was performed on 152 patients who underwent the Sistrunk procedure by a submental approach to remove TGDC at a university medical center. Intraoperative findings, postoperative complications, subjective pain levels, and satisfaction with incision scars and neck and facial deformities, and recurrence were prospectively evaluated.
The length of the submental incision was about 3 cm and the median total operation time was 36 min. Postoperative complications were minimal. Hematoma occurred in two cases (1.3%), surgical site infection in 1 case (0.7%), and dysphagia for more than 1 week occurred in 1 case (0.7%). On a 0-10 visual analogue scale, the pain had a median value of 2 on the first day after surgery, and satisfaction with incision scars and neck and facial deformities showed median values of 8 and 10 at 6 months after surgery, respectively. Recurrence occurred in one patient (0.7%) during the median follow-up period of 68 months.
The submental approach for TGDC excision may be a reliable new surgical method that is safe and has cosmetic advantages. This observational study evaluated the clinical outcomes and cosmetic benefits of the Sistrunk procedure by a submental incision for thyroglossal duct cyst in 152 patients. The surgical procedure showed no increased operation time, no need for wide flap elevation, easy suprahyoid dissection, and an invisible scar in a natural position of the neck.
甲状舌管囊肿（TGDC）是颈部最常见的先天性囊肿，通过Sistrunk手术切除。该手术需要在囊肿上方做一个水平皮肤切口，这可能会在颈部前方留下明显的疤痕。因此，本研究通过在颏下区域做一个从正面不易看见的切口，来探讨Sistrunk手术的临床效果和美容益处。
本观察性研究对152例在大学医学中心接受颏下入路Sistrunk手术切除TGDC的患者进行。前瞻性评估术中发现、术后并发症、主观疼痛程度、对切口疤痕以及颈部和面部畸形的满意度以及复发情况。
颏下切口长度约为3 cm，中位总手术时间为36分钟。术后并发症极少。2例（1.3%）发生血肿，1例（0.7%）发生手术部位感染，1例（0.7%）出现吞咽困难超过1周。采用0至10分视觉模拟量表评分时，术后第一天疼痛中位值为2分，术后6个月对切口疤痕以及颈部和面部畸形的满意度中位值分别为8分和10分。在中位随访期68个月期间，1例患者（0.7%）复发。
颏下入路切除TGDC可能是一种可靠的新手术方法，安全且具有美容优势。本观察性研究评估了152例甲状舌管囊肿患者采用颏下切口行Sistrunk手术的临床效果和美容益处。该手术方法未增加手术时间，无需广泛掀起皮瓣，舌骨上解剖容易，且颈部自然位置有不可见的疤痕。
