What are the dangers of lingual duct cyst

Cysts can develop in any part of the body, and the lingual duct is prone to infection by bacteria and viruses. If you have a cyst, your mouth will become ulcerated and your tongue will become insensitive to the outside world. In particular, fine lines will grow on the neck, making it very painful when eating. Cysts must be removed promptly, otherwise they will infect other parts of the body, causing cell-to-cell transformation and easily lead to cancer.

Diagnosis Description

(1) The tumor grows slowly and locally with clear boundaries and can be moved by pushing.

(2) There are few symptoms of ulceration and pain, and the disease generally does not metastasize to distant sites.

(3) The sputum is light yellow and soft.

(4) A biopsy is recommended to confirm the diagnosis.

Thyroglossal duct cyst refers to a congenital cyst formed in the neck due to incomplete degeneration and failure of the thyroglossal duct to disappear during the early embryonic thyroid development. The occurrence of thyroglossal duct cyst has no significant relationship with gender. It can occur in both men and women and at any age, but it is more common in adolescents under 30 years old. The cyst can occur anywhere between the foramen cecum and the sternal notch in the middle of the anterior neck, most commonly above and below the body of the hyoid bone, and sometimes may be biased to one side.

Complete surgical removal of the cyst or fistula is the main method for curing thyroglossal duct cyst or fistula. Due to the close relationship between the cyst and fistula and the hyoid body, the middle part of the hyoid body connected to it should be removed during surgery to prevent recurrence.

A transverse incision is made on the surface of the cyst along the cervical skin lines. The length of the incision should be appropriate to fully expose the surgical field. If it is a fistula, a fusiform incision including the skin of the fistula should be made. If the cyst is located lower, another transverse incision should be made when the cyst is peeled off to the plane of the hyoid body. According to the incision design, the skin, subcutaneous tissue, platysma muscle, and anterior cervical strap muscles are cut in layers to expose the cyst or fistula, and then separated along the periphery. Be careful not to damage the thyrohyoid membrane. When reaching the lower edge of the hyoid body, cut the thyrohyoid membrane and attached muscles on both sides of the part connected to the hyoid body, and use bone scissors to cut both sides of the hyoid body, and remove the cyst or fistula together with the severed part of the hyoid body. The wound cavity was flushed, bleeding was stopped thoroughly, the fistula muscles at the root of the tongue were sutured to eliminate the dead space, and the muscles and periosteum attached to the superficial surface of the bone end after the hyoid body was removed were sutured.

If the cyst becomes cancerous and is accompanied by cervical lymph node metastasis, cervical lymph node dissection is required. For patients whose postoperative pathological type is papillary carcinoma or follicular carcinoma, thyroid hormone suppression therapy can be used. If it is squamous cell carcinoma, radiation therapy may be given after surgery