Clinicopathological Study of Thyroglossal Cyst

IF 0.1 Q4 OTORHINOLARYNGOLOGY
Md. Sumon Hossain, Md. Arif Hossain Bhuyan, A. Kafi, M. Islam, Md Asadul Haque
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Abstract

Background: Thyroglossal cyst is a congenital malformation that occurs due to incomplete closure of the thyroglossal duct. Apart from quiescent embryological remnant, it presents clinically as a midline cystic swelling that moves with tongue protrusion; present at any age, often requires surgical excision. Objective: To evaluate the clinical features and treatment outcomes of patients with a thyroglossal duct cyst. Material and methods: This observational study was carried out in the Department of Surgery, Dept. of Otolaryngology, Ibn Sina Medical College, Dhaka, A total 40 cases of both sexes with the age 6-67 years, during the period of 2013 to 2018 (5 years) Results: A total 40 cases of thyroglossal cyst with mean age of 24.37 years were included in study. Of the total 40 cases, 20 (50%) patients were male and 20(50%) were female. Most common clinical presentation was painless midline cystic swelling was the main complaint in 30 patients (75%), followed by dysphagia 5 (12.5%), Sore throat 3 (7.5%) and globus 2 (5%) in descending order. Most common location of cyst was in infrahyoid region in 26 patients (65%), suprahyoid in 14 patients (35%). Conclusion: The most common presentation of thyroglossal cyst is a midline cystic swelling that moves with tongue protrusion. The standard surgical approach to thyroglossal cyst is Sistrunk’s operation with low recurrence rate. Malignancy within thyroglossal cyst is very rare but should be rule out in all cases. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 153-157
甲状舌囊肿的临床病理研究
背景:甲状舌囊肿是由于甲状舌管不完全闭合而发生的先天性畸形。除静止的胚胎残余外,临床表现为中线囊性肿胀伴舌突移动;出现于任何年龄,通常需要手术切除。目的:探讨甲状舌管囊肿的临床特点及治疗效果。材料与方法:本观察性研究于2013 - 2018年(5年)在达卡伊本西纳医学院耳鼻喉科外科进行,共纳入40例甲状腺舌囊肿患者,年龄6-67岁,男女均可,共40例,平均年龄24.37岁。40例患者中男性20例(50%),女性20例(50%)。30例(75%)患者最常见的临床表现为无痛性中线囊性肿胀,其次为吞咽困难5例(12.5%)、喉咙痛3例(7.5%)和球肿2例(5%)。最常见的囊肿部位为舌骨下区26例(65%),舌骨上区14例(35%)。结论:甲状舌囊肿最常见的表现为中线囊性肿胀伴舌突。甲状舌囊肿的标准手术入路是低复发率的Sistrunk手术。甲状舌囊肿内的恶性肿瘤是非常罕见的,但应排除所有病例。孟加拉国J耳鼻咽喉;2020年10月;26 (2): 153 - 157
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