The evaluation and surgical treatment of mass in the pretracheal space
10.3760/cma.j.issn.1673-0860.2016.06.010
- VernacularTitle:气管前间隙病变的诊断及手术治疗
- Author:
Hong SHEN
1
;
Bojun WEI
;
Zhenxing PENG
Author Information
1. 100038,首都医科大学附属北京世纪坛医院耳鼻咽喉头颈外科首都医科大学耳鼻咽喉科学院耳鼻咽喉头颈外科学教育部重点实验室(首都医科大学)
- Keywords:
Pretracheal space;
Goiter;
Tarathyroid adenoma;
Surgery
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2016;51(6):451-453
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the pathological and clinical features and the surgical results of the mass in the pretracheal space.Methods From 1999 to 2004,8 females and 3 males with an average of 43 years (from 32 to 61 years) were included CT scan,nuclear imaging,ultrasound and ultrasound-guided aspiration,endoscopic and laboratory measure were used in the evaluation for the masses before operation.Complete removal of mass was carried out in all patients under general anesthesia,and continuous negative pressure draining was routinely used.Results Six masses with firm consistency could be moved easily transversely,but slightly moveable with swallowing.On contrast CT or ultrasound,all the masses had clear circumscription and showed rounded or lobular shape.No hemorrhage,chylous or lymph leakage,or recurrent laryngeal injury was encountered.Goiter was found in 6 cases,parathyroid adenoma in 2 cases,and thymoma,parathyroid cyst or lymphatic cyst was diagnosed in the rest three patients respectively.No recurrence was found with the following-up of 7-42 months.Conclusions Goiter,parathyroid adenoma and thymoma were common lesions presenting as mass in the pretracheal space and surgically curable without complications.
