The effectiveness of transoral marsupialization for lingual thyroglossal duct cysts — Twelve successfully treated cases at a single institution

Toshio Harumatsu, Goki Uchida, Takumi Fujimura, Mototoshi Kato, Hirofumi Tomita, Shigeki Ishioka, Akihiro Shimotakahara, Naoki Shimojima, Satoshi Ieiri, Seiichi Hirobe

Research output: Contribution to journalArticle

Abstract

Purpose: Lingual thyroglossal duct cysts (L-TGDCs) are rare and sometimes lethal owing to their association with asphyxia. We aimed to analyze our single institutional experience with L-TGDCs. Methods: Twelve L-TGDC cases treated at our institution between January 2010 and December 2017 were investigated. Results: The male/female ratio was 6/6. The age at the diagnosis was 2 ± 1.4 months (7 days to 6 months), and 3 patients were diagnosed in the neonatal period. The patients presented with stridor (n = 12; 100%), growth retardation (n = 5; 42%), apnea (n = 3; 25%), and vomiting (n = 1; 8.3%). Lateral X-rays were obtained in 8 cases (66.7%); a lingual mass was suspected in 7 (87.5%). Transoral marsupialization of the cyst was performed under direct vision in all cases. All cases were nasally and orally intubated using a laryngoscope, bronchoscope, or airway scope. The mean operative time was 18 ± 2.9 min. The mean cyst size was 10.5 ± 1.8 mm. No recurrence was observed during the follow-up period (37.5 ± 18 months). Conclusion: L-TGDC requires a precise diagnosis and rapid intervention because of the risk of asphyxia resulting in sudden death. Transoral marsupialization under direct vision is an effective and secure approach. L-TGDC should be considered when patients younger than six months of age present with respiratory distress. Type of study: Retrospective Study. Level of evidence: Level IV.

Original languageEnglish
JournalJournal of Pediatric Surgery
DOIs
Publication statusPublished - 2019 Jan 1
Externally publishedYes

Fingerprint

Thyroglossal Cyst
Tongue
Asphyxia
Cysts
Laryngoscopes
Bronchoscopes
Respiratory Sounds
Apnea
Operative Time
Sudden Death
Vomiting
Retrospective Studies
X-Rays
Recurrence
Growth

Keywords

  • Children
  • Lingual
  • Marsupialization
  • Thyroglossal duct cysts
  • Transoral surgery

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

The effectiveness of transoral marsupialization for lingual thyroglossal duct cysts — Twelve successfully treated cases at a single institution. / Harumatsu, Toshio; Uchida, Goki; Fujimura, Takumi; Kato, Mototoshi; Tomita, Hirofumi; Ishioka, Shigeki; Shimotakahara, Akihiro; Shimojima, Naoki; Ieiri, Satoshi; Hirobe, Seiichi.

In: Journal of Pediatric Surgery, 01.01.2019.

Research output: Contribution to journalArticle

Harumatsu, Toshio ; Uchida, Goki ; Fujimura, Takumi ; Kato, Mototoshi ; Tomita, Hirofumi ; Ishioka, Shigeki ; Shimotakahara, Akihiro ; Shimojima, Naoki ; Ieiri, Satoshi ; Hirobe, Seiichi. / The effectiveness of transoral marsupialization for lingual thyroglossal duct cysts — Twelve successfully treated cases at a single institution. In: Journal of Pediatric Surgery. 2019.
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abstract = "Purpose: Lingual thyroglossal duct cysts (L-TGDCs) are rare and sometimes lethal owing to their association with asphyxia. We aimed to analyze our single institutional experience with L-TGDCs. Methods: Twelve L-TGDC cases treated at our institution between January 2010 and December 2017 were investigated. Results: The male/female ratio was 6/6. The age at the diagnosis was 2 ± 1.4 months (7 days to 6 months), and 3 patients were diagnosed in the neonatal period. The patients presented with stridor (n = 12; 100{\%}), growth retardation (n = 5; 42{\%}), apnea (n = 3; 25{\%}), and vomiting (n = 1; 8.3{\%}). Lateral X-rays were obtained in 8 cases (66.7{\%}); a lingual mass was suspected in 7 (87.5{\%}). Transoral marsupialization of the cyst was performed under direct vision in all cases. All cases were nasally and orally intubated using a laryngoscope, bronchoscope, or airway scope. The mean operative time was 18 ± 2.9 min. The mean cyst size was 10.5 ± 1.8 mm. No recurrence was observed during the follow-up period (37.5 ± 18 months). Conclusion: L-TGDC requires a precise diagnosis and rapid intervention because of the risk of asphyxia resulting in sudden death. Transoral marsupialization under direct vision is an effective and secure approach. L-TGDC should be considered when patients younger than six months of age present with respiratory distress. Type of study: Retrospective Study. Level of evidence: Level IV.",
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