Zeng Q, Ma W, Liu C, Wu J, Wang X Q, Wang Z H, Zhu J, Hu G H
Department of Otolaryngology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Feb 7;58(2):145-150. doi: 10.3760/cma.j.cn115330-20220608-00339.
To explore the safety and feasibility of gasless submental approach endoscopic removal of thyroglossal cyst. This work prospectively included the clinical data of 13 patients who underwent the gasless submental approach endoscopic removal of thyroglossal cyst at the Department of Otolaryngology, the First Affiliated Hospital of Chongqing Medical University from August 2021 to February 2022. The operative time, bleeding volumes, postoperative complications, subjective pain levels, satisfaction with incisional scars, neck and facial deformities, and recurrences were prospectively evaluated by visual analogue scale(VAS) score. All of 13 patients were successfully treated using this new technique. The patients had a median age of 38 years, ranging from 24 to 59 years, comprising of 3 males and 10 females. The length of the submental incision was about 3 cm and the median of operation time was 135 minutes. Postoperative complications were minimal. The median volume of blood loss was 10 ml. Surgical site swelling existed in 1 case and dysphagia for more than 1 week occurred in 2 cases. Patients were discharged from the hospital with a median of 3 days after surgery. On a VAS of 0-10 scores, the pain had a median of 2 on the first day after surgery, and the satisfaction with incision scars and neck and facial deformities showed a median of 8 at 6 months after surgery. There were no recurrences during the follow-up period of 9-15 months. Gasless submental approach endoscopic removal of thyroglossal cyst may be a reliable new surgical method that is safe and has cosmetic advantages.
探讨颏下无气腔入路内镜下切除甲状舌管囊肿的安全性和可行性。本研究前瞻性纳入了2021年8月至2022年2月在重庆医科大学附属第一医院耳鼻咽喉科接受颏下无气腔入路内镜下切除甲状舌管囊肿的13例患者的临床资料。通过视觉模拟量表（VAS）评分对手术时间、出血量、术后并发症、主观疼痛程度、对切口瘢痕的满意度、颈部和面部畸形以及复发情况进行前瞻性评估。13例患者均采用该新技术成功治疗。患者年龄中位数为38岁，范围为24至59岁，其中男性3例，女性10例。颏下切口长度约为3 cm，手术时间中位数为135分钟。术后并发症极少。失血量中位数为10 ml。1例出现手术部位肿胀，2例出现吞咽困难超过1周。患者术后中位数3天出院。在0至10分的VAS评分中，术后第一天疼痛中位数为2分，术后6个月对切口瘢痕以及颈部和面部畸形的满意度中位数为8分。在9至15个月的随访期内无复发。颏下无气腔入路内镜下切除甲状舌管囊肿可能是一种安全且具有美容优势的可靠新手术方法。
