원저

갑상설관낭종의 염증과 수술적 치료 성적사이의 상관 관계

양윤수1,*, 전희석1, 이은정1, 소상수1, 홍기환1
Yun Su Yang1,*, Hee Seok Chon1, Eun Jung Lee1, Sang Soo So1, Ki Hwan Hong1
Author Information & Copyright
1전북대학교 의과대학 이비인후-두경부외과학교실
1Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Chonbuk National University, Jeonju, Korea
*교신저자: 양윤수, 561-712 전북 전주시 덕진구 금암동 634-18 전북대학교 의과대학 이비인후-두경부외과학교실 전화 : (063) 250-1980·전송 : (063) 250-1986 E-mail: yang2002@chonbuk.ac.kr

© Copyright 2008 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 03, 2008; Accepted: Apr 24, 2008

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Thyroglossal duct cysts (TGDC) are the most common developmental head and neck lesion in children and adolescents and often presents as infected neck mass. The purpose of this study is to determine if preoperative infection was related to complication, including postoperative infection and recurrence. Materials and Methods: The medical records of all the patients with the diagnosis of TGDC treated at our department from January 1995 to July 2006 were reviewed and retrospectively analyzed. Data collected included age, sex, preoperative inflammation, treatment, postoperative inflammation and recurrence. Results: One hundred twenty-five (125) patients with histologically confirmed TGDC were treated at our department. The mean age at operation 22.3 ± 19.0 years (range, 8 months -70 years). Male to female ratio was 1.3:1. TGDC recurred in 8% (10 of 125 patients). All patients underwent a Sistrunk operation. There was no gender difference for those with and without recurrence (p=0.666). The presence of an abscess or cellulitis preoperatively did not correlate with recurrence (p=0.457). Postoperative infection occurred in 14 of 125 patients and also was independent of preoperative infection (p=0.077). However, postoperative infection was associated with an increase risk of TGDC recurrence. one of 115 patients without recurrence had a postoperative infection, whereas 9 of 10 those who had a recurrence had a postoperative infection (p<0.001). The mean followup was 2.6 years. Ten patients successfully underwent a second procedure for recurrence. Conclusions: Preo-perative infection occurred in approximately in 1 of 5 patients and was not predictive of recurrence. Although postoperative infection did not correlate with the presence of preoperative infection, it was clearly associated with a statistically significant incidence of recurrent disease. (J Clinical Otolaryngol 2008;19:83–86)

Keywords: 갑상설관 낭종; 재발; 염증
Keywords: Thyroglossal cyst; Recurrence; Infection