The outcome of minimally invasive surgery for digital mucous cyst: a 2-year follow-up of percutaneous capsulotomy

Background: The purpose of this study was to determine the clinical outcomes of mucous cystectomy and osteophytectomy using a random nonadvancement flap technique. Methods: This was a therapeutic outcomes study of patients who underwent mucous cystectomy under local anesthesia by 1 of 2 hand fellowship-trained surgeons between 2012 and 2022. The key features of the surgical technique include designing a random nonadvancement flap with the cyst at its base; transecting the cyst pedicle as the flap is elevated; resecting the cyst wall from the undersurface of the reflected flap; decompressing the distal joint by removing marginal osteophytes; and insetting the flap without advancement. Patient demographic and disease-specific data were extracted from medical records and compiled in an electronic database. At minimum 1-year follow-up, patients were queried by telephone regarding wound complications, cyst recurrence, and satisfaction with outcome. Results: The study cohort included 64 cysts in 61 patients, mean age 63 ± 10 years. The index or middle finger was affected in 63% of cases. At early postoperative follow-up, digital pain improved or resolved in 97% of cases. There were no complications of wound dehiscence or infection. At median 5-year follow-up in 34 cases, all patients except 1 were satisfied with the surgical outcome. There were 2 cyst recurrences in the study cohort (3%) and only 1 secondary procedure. Conclusions: Our study demonstrated that mucous cystectomy and distal joint osteophytectomy using a random nonadvancement flap is an effective surgical technique with low procedure complication and cyst recurrence rates and high patient satisfaction.

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Tırnak Altı Lezyonlarında Cerrahi Yaklaşım

Gökkaya

Acuner

Görğü

2021

Batı Karadeniz Tıp Dergisi

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Amaç: Tırnak bölgesinde birçok farklı doku bir arada olduğundan görülen tümöral lezyonlar oldukça çeşitlidir. Pigmente veya nonpigmente olabilen benign tümörler genellikle daha sıklıkla gözükür ancak sadece muayene ile benign-malign tümör ayrımının yapılması zordur. Bunun dışında tümöral olmayan tırnak hastalıklarının da ayırıcı tanıda yer alması gerektiği unutulmamalıdır. Gereç ve Yöntemler: Bu çalışmada 2009-2020 tarihleri arasında tırnakta kitle şikayetiyle iki farklı merkezdeki plastik cerrahi kliniklerine başvuran 12 hasta dahil edilmiştir. Hastaların klinik bulguları, yapılan tedaviler ve sonuçları değerlendirilmiştir. Bulgular: Her iki plastik cerrahi kliniğine ortalama yaşları 45,9 (34-58) olan 12 hasta başvurmuştur. Hastalardan 11’i cerrahi tedavi edilmiş, bir hasta tedavi edilmemiştir. Histopatolojik tanı olarak bir hastada ganglion kisti, beş hastada glomus tümörü ve beş hastada lineer nevüs tanısı konulmuştur. Opere edilen 11 hastanın 10’unda hastaların tedavi sonucu çok iyi olarak değerlendirilmiştir. Glomus tümörü olan bir hastada nüks görülmüş ve hasta tekrar opere edilmiştir ve nüks gözlenmemiştir. Sonuç: Tırnak yatağındaki lezyonlar sıklıkla hastalar tarafından göz ardı edilmektedir. Hem benign, hem de malign lezyonlar benzer bulgular verebileceğinden tanı için biyopsi alınması şarttır. Uygun tedavi biyopsi sonucuna göre belirlenmelidir.

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The outcome of minimally invasive surgery for digital mucous cyst: a 2-year follow-up of percutaneous capsulotomy

Cited by 3 publications

References 29 publications

Arthroscopic realignment and osteosynthesis of unstable scaphoid nonunion with cancellous bone graft from the ipsilateral radius

Arthroscopic realignment and osteosynthesis of unstable scaphoid nonunion with cancellous bone graft from the ipsilateral radius

Outcomes of Mucous Cystectomy and Osteophytectomy Using a Random Nonadvancement Flap Technique

Tırnak Altı Lezyonlarında Cerrahi Yaklaşım

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