婴幼儿舌甲状舌管囊肿的临床特点及手术治疗策略。

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology Pub Date : 2025-01-03 DOI:10.1016/j.bjorl.2024.101536

Fenghua Qin, Yihua Ni, Wenxia Chen

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引用次数: 0

摘要

目的：舌甲状舌管囊肿（LTDCs）是一种罕见的甲状舌管囊肿（LDC）。本研究旨在探讨经口切除LTDC的疗效，并评估在手术干预期间同时治疗喉软化症的额外益处。方法：回顾性收集2009年1月至2022年1月在我科收治的ltdc患儿。对患者的基线特征、临床症状、经鼻软性纤维喉镜检查、CT和MRI检查、手术治疗和随访结果进行描述和分析。结果：纳入了50例ltdc患儿。5名婴儿因呼吸窘迫手术前有紧急床边囊肿抽吸。所有患者均行囊肿切除术。术前喉镜检查发现10例患者并发LTDC和喉软化。由于呼吸和吞咽问题，这些婴儿在同一手术环境下接受了经口囊肿切除和声门上成形术。3例大囊肿、喉软化在切除前未检出。当拔管失败后1周，重复喉镜检查显示严重的喉软化，需要成功的声门上成形术。一旦口服摄入安全充足，所有患者均出院。结论：经口手术治疗LTDC是一种安全有效的手术治疗方法。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。证据等级：4；

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The clinical characteristics and surgical strategy in infants with lingual thyroglossal duct cyst

Objectives

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.

Methods

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.

Results

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.

Conclusion

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.

Level of evidence

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来源期刊

Brazilian Journal of Otorhinolaryngology OTORHINOLARYNGOLOGY-

CiteScore

3.00

自引率

0.00%

发文量

205

审稿时长

4-8 weeks

期刊介绍： Brazilian Journal of Otorhinolaryngology publishes original contributions in otolaryngology and the associated areas (cranio-maxillo-facial surgery and phoniatrics). The aim of this journal is the national and international divulgation of the scientific production interesting to the otolaryngology, as well as the discussion, in editorials, of subjects of scientific, academic and professional relevance. The Brazilian Journal of Otorhinolaryngology is born from the Revista Brasileira de Otorrinolaringologia, of which it is the English version, created and indexed by MEDLINE in 2005. It is the official scientific publication of the Brazilian Association of Otolaryngology and Cervicofacial Surgery. Its abbreviated title is Braz J Otorhinolaryngol., which should be used in bibliographies, footnotes and bibliographical references and strips.