当科9年間における先天性頚部嚢胞の検討 (藤田学園名古屋保健衛生大学医学部耳鼻咽喉科学教室開講10周年記念論文集)

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Fifteen cases of congenital cervical cysts were surgically treated in the last 9 years in our clinic. We analyzed them clinically and pathologically and also studied the literature on this disease.Our series, includes 6 cases of thyroglossal cysts, 5 of lateral cysts and 4 of dermoid cysts. They consisted of 4 males and 11 females. Their ages ranged from 1 to 31 years, and 8 of 15 were under the age of 10. Although the range of the period between the onset of the first complaint and the seeking of medical service was from several days to 31 years, 11 patients received treatment within a year in our hospital. They complained of painless soft neck tumors in 12 cases, 2 of painful ones, and one of dyspnea with a lateral neck tumor. In lateral cysts, 4 of all the cases were located on the right side of the neck. According to Bailey's classification, 4 were type-I group, and one was type-III. Half of the dermoid cysts were found in the subglossal region and others in the submental region. In thyroglossal cysts, 3 existed in the subhyoid region and others in the anterior hyoid region. As a rule, we perform the Sistrunk method on patients whose cysts or fistulas obviously are adherent to the hyoid bone. Three of our patients under went reoperation due to recurrence.
耳鼻咽喉科臨床学会の論文