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

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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
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