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[Excision of thyroglossal cyst in children by transverse submentum incision]
1Department of General Surgery，Children's Hospital of Nanjing Medical University，Nanjing，210029，China.
Insights
The transverse submentum incision is a safe and effective surgical approach for thyroglossal duct cyst removal in children. This method results in minimal scarring and high patient satisfaction, with no reported recurrence or infection.
Area of Science:
- Pediatric Surgery
- Otolaryngology
- Surgical Oncology
Background:
- Thyroglossal duct cysts (TDCs) are common congenital neck masses in children.
- Surgical excision is the primary treatment for TDCs.
- Minimizing surgical scars and ensuring functional outcomes are key considerations in pediatric TDC surgery.
Purpose of the Study:
- To evaluate the efficacy and safety of the transverse submentum incision for TDC excision in pediatric patients.
- To assess cosmetic outcomes and patient satisfaction following this surgical approach.
- To determine the complication and recurrence rates associated with the transverse submentum incision technique.
Main Methods:
- A retrospective study of 14 children undergoing TDC excision via transverse submentum incision from 2014 to 2017.
- Detailed recording of operative time, blood loss, wound healing, complications, and scar assessment using the Vancouver Scar Rating Scale.
- Postoperative follow-up included assessment of wound healing, infection, recurrence, and parental satisfaction. RUTTER Children's Behavior Questionnaire was used to assess psychological status.
Main Results:
- Successful excision of TDCs in all 14 pediatric cases using the transverse submentum incision.
- Average operative time was 55 minutes with minimal blood loss (<10 ml).
- Excellent wound healing within one week, no serious scarring, infection, or recurrence observed. High parental satisfaction reported.
Conclusions:
- The transverse submentum incision is a safe, reliable, and cosmetically favorable surgical technique for pediatric thyroglossal duct cyst excision.
- This approach offers good functional and aesthetic results with a low complication profile.
- High parental satisfaction underscores the clinical utility of this method in managing pediatric TDCs.
Abstract:
Objective:To explore the application of transverse submentum incision in thyroglossal duct cyst surgery. Method:Submentum transverse incision for thyroglossal duct cyst removal in 14 children with thyroglossal duct cyst from January 2014 to December 2017. All cases were performed submentum dermatoglyphic incision, skin incision, subcutaneous tissue, platysma muscle incision, down lifting flap, along the white line incision and separation of banded muscle on both sides, see the mass along the wall of the capsule separated to the attachment of the hyoid bone, ablation of the mucosa of the capsule wall of the hyoid bone attachment, electrotome to break the hyoid bone. The cavity is indeed stopped after bleeding, and the skin is sutured continuously for continuous intradermal suture. The operation time, bleeding volume, severe complications, wound healing time and severe surgical scars were recorded. Close follow-up was performed to observe whether there was infection or recurrence of incisional wound. Parents were informed by telephone to go back to the outpatient clinic. RUTTER Children's Behavior Questionnaire was used to assess the children's psychological status. Vancouver Scar Rating Scale was used to evaluate the children's surgical scars, and to investigate whether parents satisfactory surgical methods. Result:Fourteen cases of thyroglossal duct cyst underwent transverse incision thyroglossal duct cyst excision successfully. The average operative time was 55 minutes, and the standard deviation was 10.5 min, bleeding was less than 10 ml, postoperative hoarseness and weakness of voice, silence became low, wound healing time averaged one week, no serious surgical scars, no wound infection and recurrence. Among the normal children of the same age group, 14 parents were satisfied with the operation. Conclusion:Excision of thyroglossal duct cyst under transverse incision is safe, reliable and satisfactory in appearance.
