ABSTRACT
Anomalies of the first branchial cleft are occasional problems putting up diagnostic and therapeutic difficulties, because the imperfect settlement of reminders of this cleft, which can appear as cysts or branchial fistula, among patients of any age. Though there are several recommended classifications in order to achieve a precious diagnosis and a total surgical removal, sometimes is laborious to correlate the clinical and the histological findings. We report a sequence of congenital periauricular anomalies operated in our Department during a ten-years-term and compare our findings of those quoted after the literature series.
Subject(s)
Branchial Region/abnormalities , Adolescent , Adult , Branchial Region/surgery , Child , Child, Preschool , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
Cysts of the thyroglossal duct are one of the most common causes of benign neck masses. They generally occur in young patients and are caused by a defect in thyroglossal duct closure, which sometimes is in close contact with the hyoid. Often several tracts are present. The most effective surgical procedure was originally described by Sistrunk in 1920 and modified in 1928. This technique is based on the removal of the central portion of the hyoid bone. This procedure has successfully reduced the number of recurrences compared to local excision of the cyst. A retrospective review was made of 58 cases to evaluate surgical results, especially recurrence rate, in relation to the resection or preservation of the hyoid bone. Results were compared with published series.
Subject(s)
Surgical Procedures, Operative/methods , Thyroglossal Cyst/surgery , Adolescent , Adult , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Magnetic Resonance Imaging , Male , Middle Aged , Recurrence , Retrospective Studies , Thyroglossal Cyst/diagnosis , Thyroid Gland/diagnostic imaging , Thyroid Gland/pathology , Tomography, X-Ray Computed , UltrasonographyABSTRACT
Los quistes del conducto tirogloso son una de las masas cervicales benignas más frecuentes. Suponen un fallo del cierre del conducto tirogloso que en ocasiones está en íntimo contacto con el cuerpo del hioides, con múltiples tractos, que se presentan especialmente en pacientes jóvenes. La técnica quirúrgica que hasta hoy ha demostrado mejores resultados es el procedimiento que introdujo Sistrunk en 1920 y que modificó en 1928, basado en la extirpación de la porción central del hueso hioides. Con esta técnica se consiguió reducir el número de recidivas con respecto a la excisión local del quiste. Presentamos una revisión retrospectiva de 58 casos valorando los resultados quirúrgicos, especialmente la tasa de recidiva encontrada en relación a la extirpación o no del hioides, comparándolo con las series publicadas (AU)
Cysts of the thyroglossal duct are one of the most common causes of benign neck masses. They generally occur in young patients and are caused by a defect in thyroglossal duct closure, which sometimes is in close contact with the hyoid. Often several tracts are present. The most effective surgical procedure was originally described by Sistrunk in 1920 and modified in 1928. This technique is based on the removal of the central portion of the hyoid bone. This procedure has successfully reduced the number of recurrences compared to local excision of the cyst. A retrospective review was made of 58 cases to evaluate surgical results, especially recurrence rate, in relation to the resection or preservation of the hyoid bone. Results were compared with published series (AU)