Josephson G D, Spencer W R, Josephson J S
Department of Otolaryngology--Head and Surgery, University of Miami, Florida 33101, USA.
Ear Nose Throat J. 1998 Aug;77(8):642-4, 646-7, 651.
Thyroglossal duct cysts often present in childhood but can also afflict the adult population. In 1920, Sistrunk described surgical management and advocated the removal of the central portion of the hyoid bone, following the cyst tract to the base of the tongue. This surgical technique has not changed since its description 60 years ago. In this paper, a retrospective review of 70 thyroglossal duct cyst excisions performed at the New York Eye and Ear Infirmary from 1988 through 1996 is presented. The patient population consisted of 43 females (61%) and 27 males (39%). The average age at presentation was 21.5 years, with a range of 18 months to 64 years. The most frequent presenting symptoms was a painless midline neck mass. Computed tomography (CT) was the most frequent imaging study performed. Sixty-four patients underwent a Sistrunk procedure while five patients had excision alone. One patient was diagnosed but lost to follow-up. All five patients who underwent simple cystectomy required a second procedure. One patient who underwent the Sistrunk operation required revision. Nine patients had postoperative complications, with recurrence being the most common. We present our experience over an eight-year period.
甲状舌管囊肿常出现在儿童期，但也可累及成人。1920年，西斯屈克描述了手术治疗方法，并主张切除舌骨中央部分，沿着囊肿管道直至舌根部。自60年前该方法被描述以来，这种手术技术一直未变。本文对1988年至1996年在纽约眼耳医院进行的70例甲状舌管囊肿切除术进行了回顾性研究。患者群体包括43名女性（61%）和27名男性（39%）。就诊时的平均年龄为21.5岁，范围为18个月至64岁。最常见的症状是颈部中线无痛性肿块。计算机断层扫描（CT）是最常进行的影像学检查。64例患者接受了西斯屈克手术，5例患者仅进行了囊肿切除。1例患者被诊断出病情，但失访。所有5例接受单纯囊肿切除术的患者都需要进行二次手术。1例接受西斯屈克手术的患者需要进行修复。9例患者出现术后并发症，复发是最常见的。我们展示了我们八年期间的经验。
