Mickel R A, Calcaterra T C
Arch Otolaryngol. 1983 Jan;109(1):34-6. doi: 10.1001/archotol.1983.00800150038007.
In a review of 141 patients with thyroglossal duct cysts between 1961 and 1981, 28 patients were found to have surgical treatment for recurrent cysts and sinuses. Recurrent disease following surgical failure results in a high incidence of fistula formation. In the operative treatment of recurrent disease, all patients had a segment of hyoid bone excised. The dissection was extended to include a core of the base of the tongue in 20 of the 28 patients. There have been no surgical failures in this population of patients treated for recurrent thyroglossal duct cysts. We are currently treating patients with recurrent cysts and sinuses with en bloc anterior neck dissections, a modification of the classic Sistrunk procedure.
在一项对1961年至1981年间141例甲状舌管囊肿患者的回顾性研究中，发现有28例患者因复发性囊肿和窦道接受了手术治疗。手术失败后的复发性疾病会导致瘘管形成的高发生率。在复发性疾病的手术治疗中，所有患者均切除了一段舌骨。在28例患者中的20例中，解剖范围扩大至包括舌根部的一个核心部分。在接受复发性甲状舌管囊肿治疗的这群患者中，没有出现手术失败的情况。我们目前正在用整块颈前淋巴结清扫术治疗复发性囊肿和窦道患者，这是对经典Sistrunk手术的一种改良。
