Autori liečili 25 pacientov z mediálnymi krčnými cystami (ďalej MKC) v období 7 rokov. Išlo prevažne o typickú lokalizáciu MKC medzi os hyoideum a štítnou chrupkou (64 % pacientov). Kompletnú Sistrunkovu operáciu vykonali u 40 % pacientov, exstirpáciu MKC s resekciou tela jazylky u 48 % pacientov. Recidívu zaznamenali u troch pacientov (12 %). U jedného bola príčinou zámena laterálnej krčnej cysty a u dvoch inkompletná exstirpácia zbytkov ductus thyreoglossus. Komplikáciou u iného pacienta bola iatrogénna hypothyreóza. V snahe zabrániť recidívam doporučujú resekovať minimálne 10 mm tela jazylky a 5inm úsek zbytku ductus thyreoglossus za os hyoideum.

Twenty-five patients with thyreoglossal cysts were treated during a 7 years long period. Most of the cysts (in 64 of patients) were typicaUy located between the hyoid bone and the thyreoid gland. The complete Sistrunk s operation was performed in 40 % of the patients and 48 % patients underwent an extirpation of thyroglossal cyst with a resection of the hyoid bone body. Three of the patients (12 %) suffered a relapse. In one of the patients. this was due to the lateral cyst swapping and in two patients an incomplete extirpation of the ductus thyreoglossus remnant happend. In another patient, an iatrogenic hypothyreossis occurred. To avoid relaps, authors recommend to resect at least 10 mm of the hyoid body and 5 mm of the ductus thyreoglossus remnant behind the hyoid bone.

Klinika detskej chirurgie Detská fakultná nemocnica Bratislava

Our experience with treatment of the thyreoglossal duct cyst in children

Naše skúsenosti s liečbou mediálnych krčných cýst u detí = Our experience with treatment of the thyreoglossal duct cyst in children /

Our experience with treatment of the thyreoglossal duct cyst in children /

Lit: 17

Souhrn: eng