The clinical characteristics and surgical strategy in infants with lingual thyroglossal duct cyst
Objectives: Lingual Thyroglossal Duct Cysts (LTDCs) are a rare variant of thyroglossal duct Cyst (LDC). This study aimed to explore the efficacy of transoral excision of LTDC and evaluate the added benefit of concomitant management of laryngomalacia during the surgical intervention. Methods: Infants...
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Elsevier
2025-03-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869424001514 |
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| author | Fenghua Qin Yihua Ni Wenxia Chen |
| author_facet | Fenghua Qin Yihua Ni Wenxia Chen |
| author_sort | Fenghua Qin |
| collection | DOAJ |
| description | Objectives: Lingual Thyroglossal Duct Cysts (LTDCs) are a rare variant of thyroglossal duct Cyst (LDC). This study aimed to explore the efficacy of transoral excision of LTDC and evaluate the added benefit of concomitant management of laryngomalacia during the surgical intervention. Methods: Infants with LTDCs were retrospectively collected from our department from January 2009 to January 2022. The baseline characteristics, clinical symptoms, the features of transnasal flexible fiberoptic laryngoscopy, CT and MRI, surgical treatments, and follow-up results were described and analyzed. Results: 50 babies with LTDCs were included. Five infants had urgent bedside cyst aspiration prior to surgery for respiratory distress. All patients underwent cyst resection. Concurrent LTDC and laryngomalacia were found in 10 patients on preoperative laryngoscopy. Due to breathing and swallowing issues, these infants underwent transoral cyst removal and supraglottoplasty in the same surgical setting. 3 large cyst cases, laryngomalacia were undetectable pre-cystectomy. When extubation failed after 1weeks, repeat laryngoscopy revealed severe laryngomalacia necessitating successful supraglottoplasty. All patients were discharged from the hospital once oral intake is safe and adequate. Conclusion: Transoral surgery for LTDC is an effective and safe surgical treatment. Additionally, identifying and promptly addressing other laryngeal conditions, such as laryngomalacia, significantly enhances the success rate of the surgery. Level of evidence: 4. |
| format | Article |
| id | doaj-art-344c0e22f937414981fa8119a48facbe |
| institution | Kabale University |
| issn | 1808-8694 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj-art-344c0e22f937414981fa8119a48facbe2025-01-04T04:56:11ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942025-03-01912101536The clinical characteristics and surgical strategy in infants with lingual thyroglossal duct cystFenghua Qin0Yihua Ni1Wenxia Chen2Children’s Hospital of Fudan University, Department of Otolaryngology-Head and Neck Surgery, Shanghai, ChinaChildren’s Hospital of Fudan University, Department of Otolaryngology-Head and Neck Surgery, Shanghai, ChinaCorresponding author.; Children’s Hospital of Fudan University, Department of Otolaryngology-Head and Neck Surgery, Shanghai, ChinaObjectives: Lingual Thyroglossal Duct Cysts (LTDCs) are a rare variant of thyroglossal duct Cyst (LDC). This study aimed to explore the efficacy of transoral excision of LTDC and evaluate the added benefit of concomitant management of laryngomalacia during the surgical intervention. Methods: Infants with LTDCs were retrospectively collected from our department from January 2009 to January 2022. The baseline characteristics, clinical symptoms, the features of transnasal flexible fiberoptic laryngoscopy, CT and MRI, surgical treatments, and follow-up results were described and analyzed. Results: 50 babies with LTDCs were included. Five infants had urgent bedside cyst aspiration prior to surgery for respiratory distress. All patients underwent cyst resection. Concurrent LTDC and laryngomalacia were found in 10 patients on preoperative laryngoscopy. Due to breathing and swallowing issues, these infants underwent transoral cyst removal and supraglottoplasty in the same surgical setting. 3 large cyst cases, laryngomalacia were undetectable pre-cystectomy. When extubation failed after 1weeks, repeat laryngoscopy revealed severe laryngomalacia necessitating successful supraglottoplasty. All patients were discharged from the hospital once oral intake is safe and adequate. Conclusion: Transoral surgery for LTDC is an effective and safe surgical treatment. Additionally, identifying and promptly addressing other laryngeal conditions, such as laryngomalacia, significantly enhances the success rate of the surgery. Level of evidence: 4.http://www.sciencedirect.com/science/article/pii/S1808869424001514Lingual thyroglossal duct cystInfantsLaryngomalacia |
| spellingShingle | Fenghua Qin Yihua Ni Wenxia Chen The clinical characteristics and surgical strategy in infants with lingual thyroglossal duct cyst Brazilian Journal of Otorhinolaryngology Lingual thyroglossal duct cyst Infants Laryngomalacia |
| title | The clinical characteristics and surgical strategy in infants with lingual thyroglossal duct cyst |
| title_full | The clinical characteristics and surgical strategy in infants with lingual thyroglossal duct cyst |
| title_fullStr | The clinical characteristics and surgical strategy in infants with lingual thyroglossal duct cyst |
| title_full_unstemmed | The clinical characteristics and surgical strategy in infants with lingual thyroglossal duct cyst |
| title_short | The clinical characteristics and surgical strategy in infants with lingual thyroglossal duct cyst |
| title_sort | clinical characteristics and surgical strategy in infants with lingual thyroglossal duct cyst |
| topic | Lingual thyroglossal duct cyst Infants Laryngomalacia |
| url | http://www.sciencedirect.com/science/article/pii/S1808869424001514 |
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