The clinical characteristics and surgical options of congenital laryngeal saccular cysts
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摘要: 目的:探讨先天性喉小囊囊肿(CLSCs)的临床特点及手术方式选择。方法:32例CLSCs患儿共行手术治疗59例次,其中外院手术23例次,我院手术36例次。细针穿刺18例,囊肿开窗术9例。我院除对1例CLSCs患儿行颈外入路囊肿切除术外,其余31例均行显微支撑喉镜CO2激光辅助囊肿切除术及显微缝合术。结果:不同手术方式复发时间不同,细针穿刺为5~12 d,囊肿开窗术为1~10个月,行颈外入路囊肿切除术和支撑喉镜CO2激光辅助囊肿切除术及显微缝合术的患儿无一例复发。结论:支撑喉镜CO2激光辅助囊肿切除术及显微缝合术是治疗CLSCs并防止其复发的有效手段。Abstract: Objective:To evaluate the clinical characteristics and surgical options for CLSCs.Method:Thirty-two CLSC patients underwent a total of 59 surgeries were recruited for this study. Needle aspiration was performed in 18 cases and excision of the roof in 9 cases. Except 1 case of open operation through cervical approach, 31 cases were underwent endoscopic procedure using CO2 laser and microsuturing of the wound surfaces.Result:The time of recurrence depended on surgical approaches:5-12 days for needle aspiration and 1-10 months for excicing roof of the cyst. No recurrence was found after the complete resection of the cyst wall using a CO2 laser and microsuturing of the wound surfaces via an endoscopic procedure and open operation.Conclusion:CO2 laser and microsuturing of the wound surfaces via an endoscope is a effective approach to cure and prevent recurrence of CLSCs.
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Key words:
- congenital disease /
- laryngeal saccular cysts /
- CO_2 laser /
- microsuturing
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