mbt laarzen Thyroglossal duct cyst and fistula _57

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Thyroglossal duct cyst and fistula

Exhibition to view) the information to the Internet Medical Journal of 1999, Volume 13 No. 2 line, and health technicians for training in computer application technology. David will have a computer technician in the home they need to collect medical information including medical information Nanjing. Thyroglossal duct cyst and fistula of Lianyungang Harbour Hospital (222046) Yang Ping. -, A. 71. Abstract We report 58 cases of thyroglossal duct cyst and fistula of the information. The cysts occur in children, more men than women, as a result of infection can be cut or pierced to form their own atrophy, easily confused with many diseases,[link widoczny dla zalogowanych], it should be noted that the differential diagnosis. And the reasons for relapse and treatment related issues are discussed. A financial often ... a ... ... one by one l1/If) L thyroglossal duct cyst is a congenital malformation. Is due to the lower part of a single gland is a common, ordinary soil, according to medical history, clinical manifestations and cytological puncture the end of the starting side in the pharynx (blind hole) Thyroglossal duct between the town is not completely closed due. Formed by the accumulation of secretions, such as infection and incision and drainage or self-pierced to the formation of difficult to heal the fistula, easily mixed with a variety of diseases. Now admitted to our hospital in recent years, 58 cases of thyroglossal duct cyst and atrophy reported as follows. 1. The clinical data of 58 cases, 33 males and 25 females, aged 2 to 41 years. Course of 5 days to 6 years. 9 cases in which concurrent fistula. Cysts in the anterior chest below the hyoid bone above and center. Slow-growing cyst diameter lem ~ 3cm, was round, soft, clear around the state, and the skin is not adhesion, is located below the hyoid bone cyst palpable strip of the body connected with the hyoid bone. Shenshe cyst with swallowing and move up and down movement, the formation of atrophy in 9 cases. Are cyst, infection itself ulceration, or incision and drainage caused atrophy in the anterior middle front of the nozzle,[link widoczny dla zalogowanych], or repeated out of thick cloudy discharge. Preoperative cyst puncture for cytological examination, out of transparent, thin or slightly cloudy yellow viscous liquid, microscopic examination see the solution to dry scarlet background, there is variability within the ciliated columnar epithelial cells and ciliated columnar epithelial cells, and if the infection is to inflammation. All the patients according to Sisrunk method including the hyoid bone resection and fistula around the middle of the normal columnar tissue en bloc, including, until the tongue blind hole. 32 cases were followed up after more than 2 years, 2 patients relapsed. 2. Discuss the differential diagnosis of thyroglossal duct disappears or developmental abnormalities, can cause many diseases. Therefore, thyroglossal duct cyst should be differentiated from other diseases. Thyroglossal cyst or fistula occurs in children,[link widoczny dla zalogowanych], and more depression in the sternum to the tongue, the anterior blind hole is the middle line, and sometimes a bit more on one side. Diagnosis can be made to the hyoid bone, but could easily lead to misdiagnosis. The disease should be differentiated from the following diseases or cystic thyroid nodules: in the thyroid area. Close relationship with the thyroid. Dermoid cysts or sebaceous cysts: occur in any part of the neck. Even with the skin fools. Lingual thyroid: located in the tongue and epiglottis between the blind hole in the line. Color red, hard and, puncture blood sucked out. n iodine examination can be confirmed. Branchial cyst and fistula: occurred in the base of the throat. Atrophy within the mouth of many in the tonsil fossa. Cervical lymphadenitis, or scrofula: no longitudinal cord can be touched,[link widoczny dla zalogowanych], and the number may be more than a tangled into pieces, mostly solid, with tenderness. Needle cytology can identify. Analysis on the recurrence of thyroglossal duct cyst recurrence rate was higher because there may be: ① no middle or the removal of the hyoid bone is not removed completely, resulting in residual fistula, leading to relapse; ② atrophy may have a branch along the road, some catheter inserted into the tongue bone or periosteum, the duct wall structure due to the weak, no lining epithelium. If surgical excision is not complete or pull too hard, pull off the tapered end of the catheter, catheter induced left, causing recurrence; ③ control of local inflammation before surgery is not complete, postoperative wound infection, surgical anatomy is unclear, but also the reasons for relapse . Treatment points ① Road in the hyoid bone cyst or body atrophy after the top of the pipe directly to the tongue base are often blind hole tongue,[link widoczny dla zalogowanych], the tongue by the hyoid bone to the blind hole in the plane, the fistula with the surrounding muscle tissue 2cm ~ 3em for cylindrical excision; ② surgery avoid using violence in order to avoid breakage caused by residual duct and its branches; ③ blind hole in the tongue should be held in a thin package suture. Middle of the hyoid bone resection. The two bone ends should be sutured; ④ surgery on the unskilled, the nozzle can be injected methylene blue atrophy; ⑤ postoperative antibiotics. Attention to oral hygiene; ⑥ reoperation because of recurrence interval of more than six months should be appropriate.
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