先天性頚部嚢腫および瘻の22例

概要

論文の詳細を見る
Congenital cysts and fistulas are sometimes confused with many other types of neck tumors. We analyzed statistically these diseases with regard to sex, age, localization and therapeutic results. Included in the analysis were 18 cases of congenital median cysts and 4 cases of congenital lateral cysts and fistulas.The incidence of median cervical cysts was 0.054% of the total patients examined in our department during the past 5 years, while that of lateral cervical cysts and fistulas was 0.012%.As for distribution of the median cysts, the male and female ratio was 10:8, and all cases of lateral cysts occurred in females.With respect to age, half the number of cases were in those patients 10 years of age, and the number of these patients decreased in proportion to advancing age.With regard to the localization of median cysts, all were located inferiorly to the hyoid bone on the midline neck. All cases of lateral cysts were at the anterior border of M. sternocleidomastoideus in the carotid triangle.All patients with congenital cervical cysts complained of neck tumors, with neither severe pain nor massive secretion from the fistula.We operated on 11 patients; 10 with median cyst, and 1 with lateral fistula. Of the 10 cases of median cysts, 3 patients relapsed; the first 2 years after the operation, the second after 1 year and the third after 1 month. The midline portion of the hyoid bone was resected in only 1 case of median cysts. Recurrent cases were found in 3 cases where the hyoid bone had been preserved. However, in 6 cases out of 9 with preservation of the hyoid bone, no relapse occurred. Therefore, we cannot conclude that the hyoid bone should be resected in all the cases. Relapse did not occur in cases of lateral fistulas.
耳鼻咽喉科臨床学会の論文

先天性頚部嚢腫および瘻の22例

スポンサーリンク

概要

著者

関連論文

スポンサーリンク