頸部先天性嚢胞および瘻23例の検討

概要

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A retrospective review was carried out of 8 patients with thyroglossal duct remnants and 15 patients with branchial cleft anomalies who had visited the First Department of Surgery, Nagoya City University Medical Hospital from 1975 to 1984. In our series all of the patients with thyoglossal duct remnants and 10 of 15 patients with branchial cleft anomalies were male. At the time of diagnosis 22 of 23 patients with these anomalies were less than years of age. All of the patients with congenital sinuses or fistulae had a history of one or more episodes of local infection but, in contrast, almost all of the patients with congenital cysts complained of only a non-tender swelling on the neck. As to the surgical treatment for thyroglossal duct and branchial cleft anomalies to prevent recurrence, It is thought to be necessary to perform a more expanded and deeper excision of sinus tracts, especially in the patients with thyroglossal ducts and fistula, without sticking to Sistrunk procedure.
特定非営利活動法人日本小児外科学会の論文
1987-10-20