Abstract:Abstract:ObjectiveTo explore the feasibility of surgical removal of thyroglossal duct cyst without postoperative catheter drainage in children.MethodsClinical data of 30 children suffering from primary thyroglossal duct cyst surgically removed without postoperative catheter drainage in our department between Jan 2016 and Jan 2017 were analyzed retrospectively. The children were similar in age, sex, and surgical methods,the pain scores of 1 h, 2 h, 3 h, 4 h, and 48 h after the surgery were observed and recorded by the pain score scale. Meanwhile,the incidences of postoperative complications such as hematoma, incision infection, subcutaneous emphysema, pharyngeal fistula, hoarseness, difficulty of tongue muscle movement, dysphagia, and dyspnea were observed and recorded. Six months after surgery, the incidence of recurrence was observed and recorded.ResultsOf all the 30 children,postoperative hematoma, incision infection, subcutaneous emphysema, and pharyngeal fistula, hoarseness, difficulty of tongue muscle movement, dysphagia, dyspnea occurred in none. And postoperative followup for half a year revealed no recurrence.ConclusionsSurgical removal of thyroglossal duct cyst without postoperative catheter drainage in children does not increase the incidence of postoperative complications and recurrence. Without catheter drainage, the postoperative comfortableness can be increased,the postoperative pain can be reduced and the possibility of pulling out the drainage tube and the difficulty of postoperative nursing will be lessened.Therefore, routine catheter drainage after surgical removal of thyroglossal duct cyst in children is unnecessary.
