This is an automatically translated article.
Thyroid cyst is a common congenital abnormality in the neck region - a manifestation of the existence of the thyroid duct due to the lack of atrophy after birth. Thyroid cysts are caused by embryonic abnormalities during thyroid formation. This malformation accounts for about 7% of the population and can occur at any age.
1. Thyroid cyst is what disease?
Thyroid cyst is defined as a congenital tumor of the thyroid duct. Normally, the lingual thyroid duct atrophies into a fibrous band after birth, however, due to the abnormal growth of the thyroid duct, it develops into a cyst, containing a pale yellow mucus with scum or milky white.
Symptoms of thyroid cysts such as:
The appearance of lymph nodes in the neck may be inflamed, causing the appearance of a swollen, hot, red, painful area in the middle, under the nail bone; Hard kernels, less mobile, large kernels > 4cm or fast growing; Signs of local invasion (dysphagia, hoarseness, neck pain); Test to measure FT4 and TSH levels, fine needle aspiration cytology; Thyroid scintigraphy, high-resolution thyroid ultrasound CT scanner, contrast-enhanced X-ray can show tumors or fistulas below and above the hyoid bone.
U nang giáp móng làm xuất hiện các hạch ở cổ
2. Treatment of thyroid cyst disease
Currently, most hospitals use the Sistrunk method to remove thyroid cysts. Sistrunk technique transverse surgery, remove the tumor, the middle part of the hyoid bone, the fistula on the hyoid bone. This method both ensures aesthetics and easily expands the surgical field when needed, and has the ability to limit recurrence after surgery.
3. Cut thyroid cysts
3.1. Indications Only surgical removal of thyroid cysts is the only method of permanent cure for thyroid cysts, which must be completely removed, otherwise there will be recurrence. Other measures such as aspiration, injection, and medication do not completely cure thyroid cysts. 3.2. Contraindications There are no absolute contraindications to thyroidectomy.
U nang giáp móng chỉ có thể cắt bỏ để hết bệnh vĩnh viễn
3.3. Procedures Anesthesia: Anesthesia is endotracheal, should not be anesthetized because it is not enough to relieve the patient's pain. Patient position: Lie in supine position, head tilted back, neck stretched to the maximum by placing a pillow in position on the shoulders and the lower part of the neck. Entrance: Make a transverse incision in front of the thyroid cyst, if there is a fistula, make an incision around the fistula and wider than the fistula. Technique Cut the skin, organize subcutaneous fat, muscle clinging to the neck skin. Carefully dissect the skin around the thyroid cyst or the skin around the fistula, after separating it with a pair of forceps. Using the dipstick inserted into the fistula, check with the finger during dissection after the longitudinal cut of the scale. Using small scissors, cut and separate upward in the direction of the hyoid bone, the thyroid cyst or the probe is gradually dissected and pulled away from the subungual muscle fibers. Continue dissecting the muscle mass up to the hyoid bone and touching the hyoid bone, dissecting around that bone. Make a vertical incision of the fascia, muscle 1cm above and below the bone. Peel off the bone, to enter the thyroid duct, cut the bone with large scissors, right or left of the fistula, remove 2 pieces of bone separating the lingual duct from the bone, continue dissecting a few more millimeters. Use forceps to hold the bone, then use scissors to cut a piece of bone (the hoof bone) 1cm long and continue dissecting and checking with a dipstick. The surgeon inserts his finger into the patient's mouth and presses on the top V of the tongue.
Tiến hành phẫu thuật cắt u nang giáp móng theo đúng quy trình
If it is determined to be in the same line of the lingual duct, thread a thread in the bottom and cut the stalk, the entire dissected part is removed. Initiate hemostasis, tighten the 2 hyoid bone fragments, by inserting 2 loops of Catgut, or just Safil (1.0) through the muscle fibers. Place a small drain in the empty position of the lingual duct. Sew the scale back vertically, stitching the shallow layer horizontally. Stitch the skin, fix the drain.
4. Complications after cutting thyroid cysts
In need to open the airway to conduct endotracheal intubation for the purpose of anesthesia to stop bleeding. Vinmec International General Hospital with a system of modern facilities, medical equipment and a team of experts and doctors with many years of experience in neurological examination and treatment, patients can completely rest in peace. examination and treatment center at the Hospital.
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