Diagnosis and treatment of thyroglossal duct cyst in infants

VernacularTitle:婴幼儿甲状舌管囊肿的诊断及外科治疗
Author: Jing MA ; Tao LU ; Zhengcai LI ; Ken LIN ; Lijuan ZHOU ; Tiesong ZHANG
Publication Type:Journal Article
Keywords: Thyroglossal cyst; Ultrasonography; Surgical procedures,operative
From: International Journal of Surgery 2012;39(9):602-605
CountryChina
Language:Chinese
Abstract: Objective To explore the imageology features and curative effect of operation for thyroglossal duct cyst in infants.Methods CT and B-mode ultrasound features of 23 infant cases diagnosed as thyroglossal duct cyst were retrospectively analysed.The patients underwent classic Sistrunk operation.And ampliate Sistrunk operation was performed for those with postoperative recurrence.Results CT showed a cystic mass in the anterior triangle of neck,relevant to the hyoid bone and thyroid.B-mode ultrasound showed hypoechoic and heterogeneous image companied with posterior echo enhancement.None cyst had a solid component.Twenty-three cases got satisfied curative effect after repeat operation.There were no complications such as trachyphonia,bucking and dyspnea.Following up more than 2 years,no recurrence case occurred.Conclusions CT and B-mode ultrasound scan can help to make accurate diagnosis of the thyroglossal duct cyst,based on the special location and the typical manifestations.Thyroglossal cyst had high recurrence rate after operation.Sistrunk operation is the basic procedure for the complete removal of the thyroglossal cyst in infants.