TY - JOUR
T1 - The effectiveness of transoral marsupialization for lingual thyroglossal duct cysts — Twelve successfully treated cases at a single institution
AU - Harumatsu, Toshio
AU - Uchida, Goki
AU - Fujimura, Takumi
AU - Kato, Mototoshi
AU - Tomita, Hirofumi
AU - Ishioka, Shigeki
AU - Shimotakahara, Akihiro
AU - Shimojima, Naoki
AU - Ieiri, Satoshi
AU - Hirobe, Seiichi
N1 - Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2019/4
Y1 - 2019/4
N2 - 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.
AB - 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.
KW - Children
KW - Lingual
KW - Marsupialization
KW - Thyroglossal duct cysts
KW - Transoral surgery
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U2 - 10.1016/j.jpedsurg.2018.12.009
DO - 10.1016/j.jpedsurg.2018.12.009
M3 - Article
C2 - 30732933
AN - SCOPUS:85060971996
VL - 54
SP - 766
EP - 770
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 4
ER -