Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (1): 100-105.doi: 10.6040/j.issn.1673-3770.0.2021.265

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Clinical application analysis of endoscope in the operation of infantile tongue base cyst

HUANG Guiliang, SUN Changzhi, LUO Renzhong, CHEN Yanqiu, LIU Shaofeng, XU Jiajian   

  1. Department of Otorhinolaryngology, Guangzhou Women and Children's Medical Center, Guangzhou 510120, Guangdong, China
  • Published:2022-02-22

Abstract: Objective To investigate the clinical value and effect of the endoscope in the treatment of infantile tongue base cyst. Methods The clinical data of 65 infants with tongue base cyst were retrospectively analyzed. A total of 39 patients underwent plasma ablation of tongue base cyst under prop laryngoscopy with the endoscope and 26 patients underwent the same procedure with the naked eye. The differences between endoscopic and naked eye surgeries in the surgical treatment of infantile tongue cyst regarding surgical effects, postoperative extubation time, and recurrence were analyzed. Results Ten cases(3 cases in the endoscope group and 7 cases in the naked eye group)were transferred to the intensive care unit for delayed extubation. In the endoscopic group, 2 patients had delayed extubation for 1 day and 1 patient had delayed extubation for 3 days, while in the naked eye group, 3, 2, and 2 patients had delayed extubation for 1, 2, and 3 days, respectively. In the endoscopic group, incomplete septa were found in the cyst wall in 3 cases and the bottom of the cyst wall reached the hyoid bone in 13 cases. The endoscopic group had no recurrence within 3 years, and the naked eye group had 3 recurrences. Conclusion Endoscopic surgery in the treatment of infant tongue base cyst has a clearer surgical field, smaller scope of trauma, more complete ablation of cyst wall, significantly reduced postoperative edema, shortened time of extubation, and reduced recurrence rate.

Key words: Endoscope, Infant, Tongue base cyst, Thyroglossal dust, Laryngeal strior, Choking cough, Shortness of breath.

CLC Number: 

  • R767
[1] Paez P, Warren WS, Srouji MN. Stridor as the presenting symptom of lingual thyroglossal duct cyst in an infant[J]. Clin Pediatr(Phila), 1974, 13(12): 1077-1078. doi:10.1177/000992287401301221.
[2] Hossain MS, Touhid MD, Bhuiyan JH. Sistrunk's operation for the treatment of thyroglossal cyst[J]. Mymensingh Med J, 2010, 19(4): 565-568. doi: 10.3329/mmj.v19i4.6719.
[3] 冯晨, 郭瑞祥, 王岩. 等离子射频消融术在儿童阻塞性睡眠呼吸暂停中的应用和进展[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 16-21. doi: 10.6040/j.issn.1673-3770.1.2020.105. FENG Chen, GUO Ruixiang, WANG Yan. Application and progress of coblation in children with obstructive sleep apnea[J]. J Otolaryngol Ophthalmol Shandong Univ, 2021, 35(2): 16-21. doi: 10.6040/j.issn.1673-3770.1.2020.105.
[4] 窦倩雯, 田秀芬. 舌根部甲状舌管囊肿的诊断与治疗经验[J]. 中华耳鼻咽喉头颈外科杂志, 2020, 55(7): 683-686. doi: 10.3760/cma.j.cn115330-20191118-00707. DOU Qianwen, TIAN Xiufen. Experience of diagnosis and treatment of lingual thyroglossal duct cyst[J]. Chin J Otorhinolaryngol Head Neck Surg, 2020, 55(7): 683-686. doi: 10.3760/cma.j.cn115330-20191118-00707.
[5] 李五一, 霍红, 杨大海, 等. 等离子射频辅助经口内镜微创切除浅表舌根肿瘤[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(5): 332-336. doi: 10.3760/cma.j.issn.1673-0860.2017.05.003. LI Wuyi, HUO Hong, YANG Dahai, et al. Transoral coblation-assisted endoscopic minimally invasive surgery for superficial tongue base tumours[J]. Chin J Otorhinolaryngol Head Neck Surg, 2017, 52(5): 332-336. doi: 10.3760/cma.j.issn.1673-0860.2017.05.003.
[6] 叶京英, 张俊波. 舌甲状舌管囊肿的诊断和治疗[J]. 中华耳鼻咽喉头颈外科杂志, 2012, 47(11): 966-968. doi: 10.3760/cma.j.issn.1673-0860.2012.11.025.
[7] 郑建文, 何云生. 反复复发的舌根部甲状舌管囊肿诊治分析[J]. 中国眼耳鼻喉科杂志, 2018, 18(6): 420-421,423. doi:10.14166/j.issn.1671-2420.2018.06.015. ZHENG Jianwen, HE Yunsheng. Diagnosis and treatment of recurrent lingual root thyroglossal duct cyst[J]. Chin J Ophthalmol Otorhinolaryngol, 2018, 18(6): 420-421,423. doi:10.14166/j.issn.1671-2420.2018.06.015.
[8] 秦凤花, 谭乐恬, 倪祎华, 等. 婴幼儿舌甲状舌管囊肿44例临床特点和治疗效果分析[J]. 中国眼耳鼻喉科杂志, 2019, 19(4): 267-271. doi:10.14166/j.issn.1671-2420.2019.04.012. QIN Fenghua, TAN Letian, NI Yihua, et al. Clinical characteristics and therapeutic effect of 44 cases of lingual thyroglossal duct cyst in infants[J]. Chin J Ophthalmol Otorhinolaryngol, 2019, 19(4): 267-271. doi:10.14166/j.issn.1671-2420.2019.04.012.
[9] Mondin V, Ferlito A, Muzzi E, et al. Thyroglossal duct cyst: personal experience and literature review[J]. Auris Nasus Larynx, 2008, 35(1): 11-25. doi:10.1016/j.anl.2007.06.001.
[10] Eom M, Kim YS. Asphyxiating death due to basal lingual cyst(thyroglossal duct cyst)in two-month-old infant is potentially aggravated after central catheterization with forced positional changes[J]. Am J Forensic Med Pathol, 2008, 29(3): 251-254. doi:10.1097/PAF.0b013e31817efb0a.
[11] Zimmerman KO, Hupp SR, Bourguet-Vincent A, et al. Acute upper-airway obstruction by a lingual thyroglossal duct cyst and implications for advanced airway management[J]. Respir Care, 2014, 59(7): e98-e102. doi:10.4187/respcare.02513.
[12] Harumatsu T, Uchida G, Fujimura T, et al. The effectiveness of transoral marsupialization for lingual thyroglossal duct cysts-Twelve successfully treated cases at a single institution[J]. J Pediatr Surg, 2019, 54(4): 766-770. doi:10.1016/j.jpedsurg.2018.12.009.
[13] 苗刚勇, 肖旭平, 谭志强. 低温等离子射频技术在婴幼儿甲状舌管囊肿手术中的应用[J]. 山东大学耳鼻喉眼学报, 2015, 29(6): 52-55. doi: 10.6040/j.issn.1673-3770.0.2015.289. MIAO Gangyong, XIAO Xuping, TAN Zhiqiang. Application of low temperature radiofrequency volumetric tissue reduction in infant lingual thyroglossal duct cyst[J]. J Otolaryngol Ophthalmol Shandong Univ, 2015, 29(6): 52-55. doi: 10.6040/j.issn.1673-3770.0.2015.289.
[14] 王丽萍, 张明, 李巍, 等. 新生儿重度上呼吸道梗阻的病因分析[J]. 中华耳鼻咽喉头颈外科杂志, 2007, 42(10): 753-756. doi: 10.3760/j.issn:1673-0860.2007.10.008. WANG Liping, ZHANG Ming, LI Wei, et al. Etiologic analysis of severe neonatal upper respiratory tract obstruction[J]. Chin J Otorhinolaryngol Head Neck Surg, 2007, 42(10): 753-756.
[15] Fu JH, Xue XD, Chen LY, et al. Lingual thyroglossal duct cyst in newborns: previously misdiagnosed as laryngomalacia[J]. Int J Pediatr Otorhinolaryngol, 2008, 72(3): 327-332. doi:10.1016/j.ijporl.2007.11.001.
[16] 赵利敏, 倪坤, 吴佳丽, 等. 低温等离子射频消融术在儿童舌根囊肿的应用[J]. 中国眼耳鼻喉科杂志, 2015, 15(2): 112-114,118. doi:10.14166/j.issn.1671-2420.2015.02.011. ZHAO Limin, NI Kun, WU Jiali, et al. Application of low-temperature radiofrequency ablation in the treatment of pediatric tongue base cyst[J]. Chin J Ophthalmol Otorhinolaryngol, 2015, 15(2): 112-114,118. doi:10.14166/j.issn.1671-2420.2015.02.011.
[17] 吕海丽, 张名霞, 曹连杰, 等. 内镜支撑喉镜下射频消融术治疗舌根型甲状舌管囊肿临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2020,34(8): 752-754. doi:10.13201/j.issn.2096-7993.2020.08.017. LV Haili, ZHANG Mingxia, CAO Lianjie, et al. Clinical analysis of radiofrequency ablation for lingual thyroglossal duct cysts under endoscope combined with self-retaining laryngoscope[J]. J Clin Otorhinolaryngol Head Neck Surg, 2020, 34(8): 752-754. doi:10.13201/j.issn.2096-7993.2020.08.017.
[18] 郭宇峰, 高兴强. 低温等离子射频消融术治疗新生儿先天性舌根囊肿的临床疗效[J]. 中国耳鼻咽喉头颈外科, 2017, 24(12): 644-646. doi:10.16066/j.1672-7002.2017.12.011. GUO Yufeng, GAO Xingqiang. Clinical efficacy of low-temperature radiofrequency ablaion for the treatment of neonatal tongue base cyst[J]. Chin Arch Otolaryngol-Head Neck Surg, 2017, 24(12): 644-646. doi:10.16066/j.1672-7002.2017.12.011.
[19] 郑燕青, 林少蓉, 林海鹏, 等. 显微支撑喉镜下低温等离子射频消融术治疗新生儿舌根囊肿疗效观察[J]. 中国耳鼻咽喉颅底外科杂志, 2017, 23(6): 577-579. doi: 10.11798/j.issn.1007-1520.201706018. ZHENG Yanqing, LIN Shaorong, LIN Haipeng, et al. Therapeutic effect of low-temperature radiofrequency ablation for the treatment of neonatal tongue base cyst under self-retaining microlaryngoscope[J]. Chin J Otorhinolaryngol - Skull Base Surg, 2017, 23(6): 577-579. doi: 10.11798/j.issn.1007-1520.201706018.
[20] Fong S, Hodge JC, Foreman A, et al. Transoral robotic excision of a lingual thyroglossal duct cyst[J]. J Robot Surg, 2018, 12(2): 357-360. doi:10.1007/s11701-017-0713-1.
[21] Turri-Zanoni M, Battaglia P, Castelnuovo P. Thyroglossal duct cyst at the base of tongue: the emerging role of transoral endoscopic-assisted surgery[J]. J Craniofacial Surg, 2018, 29(2): 469-470. doi:10.1097/scs.0000000000004009.
[22] 韩英, 洒娜, 田家军, 等. 扩大Sistrunk手术切除复发舌甲状舌管囊肿的临床分析[J]. 中国耳鼻咽喉头颈外科, 2020, 27(7): 404-406. doi:10.16066/j.1672-7002.2020.07.010. HAN Ying, SA Na, TIAN Jiajun, et al. Evaluation of the extended Sistrunk operation in the treatment of recurrent lingual thyroglossal duct cysts[J]. Chin Arch Otolaryngol - Head Neck Surg, 2020, 27(7): 404-406. doi:10.16066/j.1672-7002.2020.07.010.
[23] 陈金辉, 罗志宏, 徐红星, 等. 阻塞性睡眠呼吸暂停低通气综合征舌根等离子射频消融术的并发症[J]. 中华耳鼻咽喉头颈外科杂志, 2010, 45(7): 574-577. doi: 10.3760/cma.j.issn.1673-0860.2010.07.012. CHEN Jinhui, LUO Zhihong, XU Hongxing, et al. Complications of tongue base reduction with radiofrequency tissue ablation on obstructive sleep apnea hypopnea syndrome[J]. Chin J Otorhinolaryngol Head Neck Surg,, 2010, 45(7): 574-577. doi: 10.3760/cma.j.issn.1673-0860.2010.07.012.
[24] 米彦芳, 耿曼英, 姚淋尹. 36例舌根会厌区囊肿等离子低温消融术后并发症临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2011, 25(9): 423-424. doi: 10.3969/j.issn.1001-1781.2011.09.013.
[25] 崔鹏程, 罗家胜, 赵大庆, 等. 内镜下球囊扩张治疗儿童声门下狭窄[J]. 中华耳鼻咽喉头颈外科杂志, 2016, 51(4): 286-288. doi: 10.3760/cma.j.issn.1673-0860.2016.04.009. CUI Pengcheng, LUO Jiasheng, ZHOA Daqing, et al. Management of subglottic stenosis in children with endoscopic balloon dilation[J]. Chinese J Ournal of Otorhinolaryngology Head and Neck Surgery, 2016, 51(4): 286-288. doi: 10.3760/cma.j.issn.1673-0860.2016.04.009.
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