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The Archives of Bone and Joint Surgery، جلد ۹، شماره ۴، صفحات ۳۸۷-۳۹۰
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عنوان انگلیسی Recurrence of Ganglion Cysts Following Re-excision
چکیده انگلیسی مقاله Background: The recurrence of ganglion cysts after surgical excision has a reported rate of 4% to 40%. Recurrence rateafter revision surgical excision is unknown. The purpose of this study was to define the incidence of recurrent ganglion cystsin patients who underwent a secondary excision procedure.Methods: With Institutional Review Board approval, we retrospectively identified by CPT code and reviewed charts ofpatients who had recurrent ganglion cyst excision performed over a five-year period (2010 – 2014). Recurrence was definedas reappearance of a cyst in the same area as it was previously. Demographic information including recurrences andrevision surgeries was collected in addition to outcome variables such as patient satisfaction, pain levels, and functionallimitations.Results: Out of the 42 revision cases identified 20 patients were reached. Mean time to recurrence of the cyst after the firstganglion cyst excision was 2.5 years (range: 1 month - 12 years). After the second ganglion cyst excision, three patients(15%) had a recurrence, each occurring within one year (mean: 11 months; range: 9-12). One of the three patients underwenta third successful ganglion cyst excision. The other two patients declined surgical intervention to date. Patients without asecond recurrence (n=17) reported an average pain score of 0.1 (range: 0-2) on a scale of 1-10. Three (18%) reported somedifficulty with day-to-day activities due to their scar. Seven (41%) patients reported at least transient numbness or tingling.Mean satisfaction was 9.8 on a scale of 1-10, and 100% reported that they would undergo another ganglion cyst excisionshould they ever have another recurrence.Conclusion: Patients should be advised about the risk of recurrence after re-excision of ganglion cysts, which was notedto be 15% in our cohort. This rate of recurrence is similar to that of primarily excised cysts.Level of evidence: III
کلیدواژه‌های انگلیسی مقاله Ganglion cyst, Recurrence, Surgical excision, wrist surgery
نویسندگان مقاله | Jack Graham
Department of Orthopedic Surgery, The Rothman Institute, Sidney Kimmel Medical College, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA, USA


| Lindsay McAlpine
Department of Neurology, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA


| Juana Medina
Unidad Ortopédica de Colombia, Bogota, Colombia


| Priscilla Jawahier
Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands


| Pedro Beredjiklian
Department of Orthopedic Surgery, The Rothman Institute, Sidney Kimmel Medical College, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA, USA


| Michael Rivlin
Department of Orthopedic Surgery, The Rothman Institute, Sidney Kimmel Medical College, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_17104.html
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نوع مقاله منتشر شده RESEARCH PAPER
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