Abstract：
OBJECTIVE: Thyroglossal duct cysts (TGDCs) are a common congenital mass in the cervical region. As the traditional surgical approach for TGDC removal, the Sistrunk procedure, often leaves a visible neck scar, the demand for improved cosmetic outcomes has increased. Emerging endoscopy-assisted approaches offer promise for addressing cosmetic concerns. We conducted a scoping review to evaluate the feasibility and safety of endoscopy-assisted TGDC surgery.
METHODS: PubMed, Embase, and Cochrane databases.
METHODS: Electronic databases were searched from their respective inception dates to January 2023. Data on surgical approach, patient demographics, surgical procedure, and postoperative outcomes were extracted and analyzed. The quality of the studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist.
RESULTS: The literature search yielded nine articles published between 2011 and 2022. Overall, 85 patients in these studies successfully underwent endoscopy-assisted TGDC surgery using various approaches, including areolar, axillo-breast, transoral-vestibular, and transoral-sublingual. The operative time varied across the studies, ranging from 50 to 480 min. TGDC sizes ranged from 1 to 3 cm in diameter. Complications, including infection, skin bruising, and dysarthria, were reported in seven patients (8%). No cases of conversion to open surgery or postoperative recurrences were reported.
CONCLUSIONS: Endoscopy-assisted surgery is a potential alternative for patients seeking TGDC resection with satisfactory aesthetic results while ensuring safety. However, existing evidence is insufficient to support the superior effectiveness of endoscopy-assisted TGDC surgery over the traditional Sistrunk procedure. Laryngoscope, 134:3038-3043, 2024.
METHODS: PubMed, Embase, and Cochrane databases.
METHODS: Electronic databases were searched from their respective inception dates to January 2023. Data on surgical approach, patient demographics, surgical procedure, and postoperative outcomes were extracted and analyzed. The quality of the studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist.
RESULTS: The literature search yielded nine articles published between 2011 and 2022. Overall, 85 patients in these studies successfully underwent endoscopy-assisted TGDC surgery using various approaches, including areolar, axillo-breast, transoral-vestibular, and transoral-sublingual. The operative time varied across the studies, ranging from 50 to 480 min. TGDC sizes ranged from 1 to 3 cm in diameter. Complications, including infection, skin bruising, and dysarthria, were reported in seven patients (8%). No cases of conversion to open surgery or postoperative recurrences were reported.
CONCLUSIONS: Endoscopy-assisted surgery is a potential alternative for patients seeking TGDC resection with satisfactory aesthetic results while ensuring safety. However, existing evidence is insufficient to support the superior effectiveness of endoscopy-assisted TGDC surgery over the traditional Sistrunk procedure. Laryngoscope, 134:3038-3043, 2024.
摘要：
目的：甲状舌管囊肿（TGDC）是一种常见的颈部先天性肿块。作为TGDC切除的传统手术方法,Sistrunk程序,经常留下可见的颈部疤痕，对改善化妆品效果的需求有所增加。新兴的内窥镜辅助方法为解决美容问题提供了希望。我们进行了范围审查，以评估内窥镜辅助TGDC手术的可行性和安全性。
方法：PubMed，Embase,和Cochrane数据库。
方法：从各自的开始日期到2023年1月检索电子数据库。关于手术方法的数据，患者人口统计学，外科手术,提取并分析术后结局。使用JoannaBriggs研究所关键评估清单评估研究的质量。
结果：文献检索在2011年至2022年间发表了9篇文章。总的来说,这些研究中的85例患者使用各种方法成功接受了内窥镜辅助的TGDC手术，包括乳晕,腋窝乳房,经口前庭,和经口舌下。手术时间因研究而异，范围从50到480分钟。TGDC尺寸范围为直径1至3cm。并发症,包括感染,皮肤瘀伤,和构音障碍,在7例患者（8％）中报告。没有报告转换为开放手术或术后复发的病例。
结论：内窥镜辅助手术是寻求TGDC切除术的患者的潜在替代方案，具有令人满意的美学效果，同时确保安全。然而,现有证据不足以支持内窥镜辅助TGDC手术优于传统Sistrunk手术的有效性.喉镜,2024.
方法：PubMed，Embase,和Cochrane数据库。
方法：从各自的开始日期到2023年1月检索电子数据库。关于手术方法的数据，患者人口统计学，外科手术,提取并分析术后结局。使用JoannaBriggs研究所关键评估清单评估研究的质量。
结果：文献检索在2011年至2022年间发表了9篇文章。总的来说,这些研究中的85例患者使用各种方法成功接受了内窥镜辅助的TGDC手术，包括乳晕,腋窝乳房,经口前庭,和经口舌下。手术时间因研究而异，范围从50到480分钟。TGDC尺寸范围为直径1至3cm。并发症,包括感染,皮肤瘀伤,和构音障碍,在7例患者（8％）中报告。没有报告转换为开放手术或术后复发的病例。
结论：内窥镜辅助手术是寻求TGDC切除术的患者的潜在替代方案，具有令人满意的美学效果，同时确保安全。然而,现有证据不足以支持内窥镜辅助TGDC手术优于传统Sistrunk手术的有效性.喉镜,2024.
