Endoscope-assisted concurrent resection of thyroglossal duct cysts and benign thyroid nodules via a small submental incisions

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• 作者：Qian Cai (1)
  Xiaoming Huang (1)
  Faya Liang (1)
  Junming Chen (1)
  Maojin Liang (1)
  Yong Pan (2)
  Yiqing Zheng (1)
  
• 关键词：Thyroglossal duct cyst ; Thyroidectomy ; Endoscopy ; Concurrent operation
• 刊名：European Archives of Oto-Rhino-Laryngology
• 出版年：2014
• 出版时间：June 2014
• 年：2014
• 卷：271
• 期：6
• 页码：1771-1775
• 全文大小：
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• 作者单位：Qian Cai (1)
  Xiaoming Huang (1)
  Faya Liang (1)
  Junming Chen (1)
  Maojin Liang (1)
  Yong Pan (2)
  Yiqing Zheng (1)
  
  1. Department of Otolaryngology-Head and Neck, Affiliated Second Hospital, Sun Yat-sen University, 107 Yan Jiang West Road, Guangzhou, 510120, China
  2. Department of Otolaryngology-Head and Neck, Zeng-cheng People’s Hospital, Sun Yat-sen University, 1 Guang Ming East Road, Zengcheng, 511300, China
  
• ISSN：1434-4726

文摘

The objective of this study was to evaluate the technique of endoscope-assisted concurrent resection of thyroglossal duct cysts and benign thyroid nodules via a small submental incision. Endoscope-assisted thyroglossal duct cyst excision and subtotal thyroidectomy were performed via a small submental incision in six patients with thyroglossal duct cysts and benign nodular thyroid lesions. The thyroglossal duct cysts and thyroid lesions were completely excised. The incisions were 3-?cm in length, and the mean operation time was 84?±?11?min. The mean volume of blood loss was 19?±?5?mL. Postoperative pathological examination findings confirmed the diagnosis of thyroglossal duct cyst in all patients. The thyroid lesions were nodular goiter in three patients and thyroid adenoma in three patients. No postoperative complications such as hematoma, pharyngeal fistula, hypocalcemia, recurrent laryngeal nerve paralysis, or dysphagia were observed. No changes in the planned surgical procedure were required, and no recurrent lesions were detected during follow-up. In conclusion, patients with thyroglossal duct cysts and benign thyroid lesions can be treated by endoscopic excision via a small submental incision, thereby avoiding large neck incisions and resulting in better postoperative cosmetic outcomes.