Anterior median neck cyst and fistula resection

Anterior cervical cyst and fistula resection for neck cyst and fistula surgery. The thyroid gland cyst is caused by congenital dysplasia. If the cyst is located at the base of the baby's tongue, it may cause suffocation. The thyroid gland passes down the lingual bone to the thyroid gland. The cysts occur in the tongue between the blind hole and the hyoid bone, between the hyoid bone and the throat, and in the lower part of the trachea. The thyroid gland cyst or the thyroglossal fistula often forms more scar tissue due to repeated infections, which makes it difficult to completely remove the diseased tissue. Juvenile patients are incompletely developed due to incomplete tissue development and are prone to recurrence after surgery. Treatment of diseases: thyroid gland cysts and fistula Indication The median anterior cervical cyst and fistula resection are suitable for thyroid sacral cysts or local inflammatory infections of the fistula, and the unhealed and neck lesions hinder the appearance. Preoperative preparation In the case of acute inflammation of the thyroid gland cyst (), anti-infective treatment should be given first. 3 to 5 days before surgery, use 1% saline to keep the mouth clean and treat inflammation of the gums. Surgical procedure 1. Make a curved transverse incision consistent with the dermatoglyph as a center of the cyst. 2. If the fistula is due to its fistula, the tongue is often passed through the middle or lower part of the hyoid bone. To show that the fistula is completely resected, the methylene blue solution can be injected through the fistula so that the inner wall of the fistula is blue, the probe is inserted into the fistula, and a fusiform incision is made at the peripheral edge. Pull the tissue at the edge of the mouth with a rat tooth forceps for traction, and make a sneak separation along the fistula, taking care to keep the fistula intact. 3. Separate the exposed cysts on the shallow surface of the deep fascia. 4. If there is a fistula, it is separated radially along the line to the root of the hyoid bone to the end of the cut. 5. The lingual bone can also be cut with a rongeur 3 to 5 mm on both sides of the fistula to remove the fistula and the middle segment of the hyoid bone associated therewith. 6. The thyroid gland cyst (), the roots are deep to the blind hole. Follow the fistula to the base of the tongue during surgery. The anatomical method can take the horizontal and vertical lines around the hyoid bone, along the 45° bisector, and reach the blind hole of the tongue. 7. The surgeon uses the left finger to reach the base of the tongue, and pushes the tongue toward the front of the neck to make the bottom of the cyst (the fistula) close to the incision. 8. Separate the cyst and fistula into the blind hole. The ligation of the root of the fistula and the removal of the entire diseased tissue from the base of the tongue. 9. There may be gaps between the broken ends of the hyoid bone to suture and repair it. 10. After the wound in the tongue of the blind hole is cleaned, the needle can be sutured with the absorbable thread to avoid accidentally injuring the tongue nerve, and the drainage strip is placed, and the hyoid muscle space is sutured by the non-absorbent line. 11. Suture the subcutaneous tissue and skin by layer.