Qin Fenghua, Ni Yihua, Chen Wenxia
Children's Hospital of Fudan University, Department of Otolaryngology-Head and Neck Surgery, Shanghai, China.
Children's Hospital of Fudan University, Department of Otolaryngology-Head and Neck Surgery, Shanghai, China.
Braz J Otorhinolaryngol. 2025 Mar-Apr;91(2):101536. doi: 10.1016/j.bjorl.2024.101536. Epub 2025 Jan 3.
Lingual Thyroglossal Duct Cysts (LTDCs) are a rare variant of thyroglossal duct Cyst (LDC). This study aimed to explore the efficacy of transoral excision of LTDC and evaluate the added benefit of concomitant management of laryngomalacia during the surgical intervention.
Infants with LTDCs were retrospectively collected from our department from January 2009 to January 2022. The baseline characteristics, clinical symptoms, the features of transnasal flexible fiberoptic laryngoscopy, CT and MRI, surgical treatments, and follow-up results were described and analyzed.
50 babies with LTDCs were included. Five infants had urgent bedside cyst aspiration prior to surgery for respiratory distress. All patients underwent cyst resection. Concurrent LTDC and laryngomalacia were found in 10 patients on preoperative laryngoscopy. Due to breathing and swallowing issues, these infants underwent transoral cyst removal and supraglottoplasty in the same surgical setting. 3 large cyst cases, laryngomalacia were undetectable pre-cystectomy. When extubation failed after 1weeks, repeat laryngoscopy revealed severe laryngomalacia necessitating successful supraglottoplasty. All patients were discharged from the hospital once oral intake is safe and adequate.
Transoral surgery for LTDC is an effective and safe surgical treatment. Additionally, identifying and promptly addressing other laryngeal conditions, such as laryngomalacia, significantly enhances the success rate of the surgery.
舌甲状腺舌管囊肿（LTDC）是甲状腺舌管囊肿（LDC）的一种罕见变体。本研究旨在探讨经口切除LTDC的疗效，并评估手术干预期间同时处理喉软化症的额外益处。
回顾性收集2009年1月至2022年1月我院收治的LTDC患儿。描述并分析其基线特征、临床症状、经鼻柔性纤维喉镜、CT和MRI检查结果、手术治疗及随访结果。
纳入50例LTDC患儿。5例因呼吸窘迫在手术前行紧急床边囊肿穿刺抽吸。所有患者均接受囊肿切除术。术前喉镜检查发现10例患者同时存在LTDC和喉软化症。由于呼吸和吞咽问题，这些患儿在同一手术中接受了经口囊肿切除和声门上成形术。3例大囊肿病例，囊肿切除术前未发现喉软化症。1周后拔管失败，再次喉镜检查发现严重喉软化症，需行声门上成形术并成功。所有患者在经口摄入安全且充足后出院。
经口手术治疗LTDC是一种有效且安全的手术方法。此外，识别并及时处理其他喉部疾病，如喉软化症，可显著提高手术成功率。
