Clinical Presentation of Thyroglossal Cysts and Sinuses

IF 0.1 Q4 OTORHINOLARYNGOLOGY
GM Faruquzzaman, Md. Aminul Haque, Md Nazmul Islam, Md Nazrul Islam, M. Kamruzzaman, D. Hossain
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引用次数: 1

Abstract

Objective: To see the clinical presentation of thyroglossal cysts and sinuses. Methods: Observational type of Cross sectional study. Department of ENT & Head-Neck Surgery in Sher-E-Bangla Medical College Hospital, Barishal from September 2014 to February 2015. All patients attended in the Department of ENT and Head Neck Surgery in Sher-E-Bangla Medical College Hospital, Serum TSH, USG of thyroid swelling and FNAC were done for diagnoses and for evaluation. Results: Thyroglossal cysts and sinuses were found in 23(63.9%) and 13(36.1%) cases respectively. The mean age of presentation was found 16.6±11.3 years in cysts group and 15.5±7.2 years in sinus group. Regarding the site of cysts 4(17.4%) cases was suprahyoid, 11(47.8%) infrahyoid and 8(34.8%) at the level of hyoid. Regarding the site of sinus 1(7.7%) case was suprahyoid, 9(69.2%) infrahyoid and 3(23.1%) at the level of hyoid. All the patients had normal thyroid gland in both group, all of them had normal serum TSH level. FNAC was done in all cyst patients and shows normal cystic lesion with no malignancy. But in sinus patients only one FNAC was done and reported as cystic lesion. Conclusion: Thyroglossal cysts and sinuses were more common in 2nd decade and male predominant. Majority of the cysts are Infrahyoid and on the right side of midline and majority of sinuses are Infrahyoid and on the right side. Development of sinuses is due to operation following abscess formation in majority of cases. Bangladesh J Otorhinolaryngol 2022; 28(1): 7-15
甲状腺骨囊肿和窦的临床表现
目的:探讨甲状舌囊肿和舌窦的临床表现。方法:观察型横断面研究。2014年9月至2015年2月在巴里沙尔Sher-E-Bangla医学院医院耳鼻喉科及头颈外科工作。所有在谢尔- e -孟加拉医学院附属医院耳鼻喉科和头颈外科就诊的患者,均进行血清TSH、甲状腺肿胀USG和FNAC的诊断和评估。结果:甲状腺舌囊肿23例(63.9%),舌窦13例(36.1%)。囊肿组平均发病年龄为16.6±11.3岁,窦性组平均发病年龄为15.5±7.2岁。关于囊肿部位,舌骨上4例(17.4%),舌骨下11例(47.8%),舌骨水平8例(34.8%)。舌骨上窦1例(7.7%),舌骨下窦9例(69.2%),舌骨水平窦3例(23.1%)。两组患者甲状腺功能均正常,血清TSH水平均正常。所有囊肿患者均行FNAC检查,显示囊性病变正常,无恶性肿瘤。但在鼻窦患者中,仅进行了一次FNAC,并报告为囊性病变。结论:甲状舌囊肿和舌窦多见于第二十年,以男性为主。大多数囊肿位于舌骨下,位于中线右侧,大多数鼻窦位于舌骨下,位于右侧。在大多数情况下,鼻窦的发展是由于脓肿形成后的手术。孟加拉国[J] otorhinolyngol 2022;28 (1): 7 - 15
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