Recurrence Of Thyroglossal Duct Cyst Research Articles

Evaluation of preoperative cutaneous fistula as a risk factor for recurrence of thyroglossal duct cyst in children.

A preoperative cutaneous fistula was a critical and independent risk factor for recurrence of operated TGDC, whereas age and TGDC infection were not identified as risk factors for recurrence after surgery. This information should be given to patients and parents before surgery. • The risk factors for recurrence after thyroglossal duct cyst surgery described in the literature are preoperative infection and young age, but this is not supported by strong evidence. • The role of cutaneous fistula formation is unclear. •The main risk factor for recurrence of TGDC is the presence of a preoperative cutaneous fistula, with an estimated hazard ratio of 4.95 (p = 0.016) in multivariate analysis. • The presence of two preoperative infections was also associated with a greater risk of recurrence in univariate analysis; age and gender were not associated with an increased risk of recurrence.

RECURRENCE OF THYROGLOSSAL DUCT CYST AFTER SISTRUNK OPERATION.

Introduction: Thyroglossal duct cyst (TGDC) is the most common form of congenital anomaly in the head and neck region with prevalence of 7%. Embryologically the thyroglossal duct tract gets atrophied by fifth to tenth week of gestation. If it does not atrophied it results in TGDC and operation is the treatment of choice. However, in spite of standard surgical treatment there is recurrence of cyst. Eight percent of thyroglossal duct cyst may reoccur after adequate surgical excision.
 Objectives: To identify the recurrence of thyroglossal duct cyst after standard sistrunk’s operation.
 Methodology: A retrospective chart review performed in all the patients who were diagnosed with thyroglossal duct cyst and were managed by Sistrunk operation in B.P Koirala Institute of Health sciences, department of ORL and Head and Neck surgery from 2013 January1to 2015 December 31.The study was conducted on 37 patients’ age ranging from 4years to 68years. All the patients who had undergone Sistrunk’s operation and histopathologically diagnosed with thyroglossal duct cyst were analysed through hospital records. All records were reviewed for age, sex, location of cyst in neck and with relation to hyoid bone, postoperative complication and recurrence.
 Results: There was male predominance 67.56% and female only 32.43%.The most of the patients were between 1-15 yrs age group (48.64%). Thirty two patients presented with infrahyoid thyroglossal cyst and five patients with suprahyoid thyroglossal cyst. The post operative complications were in the form of wound dehiscence, haematoma, seroma, infection and there were two cases with recurrence out of thirty seven patients after Sistrunk operation in the form of persistence discharging sinus.
 Conclusion: A Sistrunk’s operation is effective in treating primary thyroglossal duct cyst with a comparably low recurrence rate. The intraoperative rupture of cyst is the most important risk factors predicting postoperative recurrence of thyroglossal duct cyst. Meticulous dissection of the thyroglossal duct cyst is very essential for the better surgical outcome.

Thyroglossal duct cysts: clinicoradiological diagnosis and outcome of surgery

Introduction: Thyroglossal duct cyst (TGDC) is a congenital malformation caused by failure of obliteration of the thyroglossal duct. It presents at any age and often requires surgical excision. This study was done to study our cases of TGDC to get some conclusions that may help the management of such cases.Patients and Methods: This is a prospective study done at the Maxillofacial Surgery Unit, General Surgery Department, Sohag University Hospital, Sohag, Egypt in collaboration with Vascular, Neuro and Interventional Radiology Departments, Faculty of Medicine, Al-Baha University, Kingdom of Saudi Arabia. It included patients with the diagnosis of TGDC who were managed between July 2011 and June 2017. Their charts were reviewed for the demographics, clinical presentations, radiological investigations, management, and outcome.Results: The study included 60 patients; 41 (68.3%) men and 19 (26.7%) women. The age of the patients ranged between 2 and 29 years; 45 (75%) patients were under 10 years. The complaint was neck mass in 49 (81.6%) patients, discharging opening in 11 (18.4%) patients. All cases were primary cases. The cyst or fistula opening was located adjacent to the hyoid bone in 51 (85%) patients, infrahyoid in seven (11.7%) patients, and suprahyoid in two (3.3%) patients. Neck ultrasonography in all patients detected the cyst and its location and assured that the thyroid gland was present in its normal location. These patients were treated by the classical Sistrunk procedure. The follow-up period ranged between 3 and 30 weeks. One patient had recurrence and operated on 1 year later.Conclusion: TGDC is the most common cervical congenital anomaly. It can be found in all age groups, with the highest incidence in pediatric males. Although, it is diagnosed clinically in most of the cases, the use of radiological investigations can improve the diagnosis. The knowledge of embryology, meticulous dissection along anatomical planes, and excision of the core of the hyoid bone is essential to decrease recurrence of TGDC.

Thyroglossal Duct Cyst Recurence. A case report

Thyroglossal duct cyst is a congenital malformation that occurs due to incomplete closure of the thyroglossal duct. The cyst typically appears along the midline of the neck on the ventral surface. Apart from being a quiescent embryological remnant, it presents itself clinically at any age and often requires surgical excision. It is the most common congenital tumor neck mass and occurs in 7% of the population. The thyreoglossal cyst may be located in the intralingual, suprahyoid, thyrohyoid or suprasternal region. Its position in the hyoid bone is extremely rare. There are a few differences between thyroglossal duct cysts (TGDCs) expression in children and adults. The lesion mostly found in children but adult population also possesses this anomaly. Position is almost similar in both age groups with midline and infrahyoid location while laterality is seen mostly in adults. Size of Cyst is found to be larger in adults. The recurrence and post-operative complication rates between children and adults usually are not significantly different. Malignant transformation is rare and can be diagnosed only after histologic examination of a biopsy specimen. We present a clinical case of a 25 year old female patient, with previous surgery in childhood (at the age of 7) due to thyroglossal duct cyst. She came to the ENT clinic complaining of painful tumor mass at the middle of her neck 3 centimeters large. Thyroglossal duct cyst recurrence with inflammation was discovered. The patient underwent antibiotic treatment for 10 days as a start and after a week a surgery was performed as a method of definitive treatment.

Thyroglossal duct cyst surgery: A ten-year single institution experience

Objective1. Review our institution's experience with thyroglossal duct cyst (TGDC) excision. 2. Determine if TGDC recurrence rate is influenced by surgical technique, preoperative infection, or surgeon specialty. MethodsWe conducted a retrospective analysis of patients at a tertiary care children's hospital who underwent excision of neck mass with proven TGDC histopathology from 2005 to 2015. Patient demographics and presentation, preoperative workup, surgeon specialty, procedural details, lesion characteristics, and complication rates including recurrence were evaluated. Results108 patients (51% male, 49% female), aged 6 months to 20 years (mean 6 years) met inclusion criteria. 121 procedures were performed: 96 (79.3%) for primary disease and 25 (20.7%) for recurrence. 32 patients (27.8%) were infected preoperatively, resulting in a significant increase in complications and recurrence (46.9% and 28.1%, respectively). Lack of preoperative imaging was correlated with increased recurrence (p = 0.0002). Recurrence rate after treatment for primary (11.3%) versus secondary disease (24%) was not significant (p = 0.23). Total recurrence rate differed between ENT (9.1%) and Pediatric Surgery (PS) (27.3%) (p = 0.0172). Difference was not significant for recurrence in primary disease (10% ENT, 14.8% PS, p = 0.49), but was for secondary disease (5.6% ENT, 71.4% PS, p = 0.002). Modifications of Sistrunk's procedure did not result in increased rates of recurrence (p = 0.1273). ConclusionPreoperative TGDC infection and lack of imaging led to a significant increase in postoperative complications, including recurrence. Surgical specialty significantly affected recurrence rates following excision overall and in secondary disease. Recurrence was not affected by surgical technique, age, sex, cyst size, or mucin rich histology.

Wide anterior neck dissection for management of recurrent thyroglossal duct cysts in adults.

Thyroglossal duct cyst recurrence following resection is attributed to anatomical variability and residual thyroglossal ducts. In adults, thyroglossal duct cyst recurrence is extremely rare and a surgical solution is yet to be well explored. This paper describes our approach to the management of recurrent thyroglossal duct cysts and sinuses in adults using a wide anterior neck dissection. A retrospective review was performed to identify adults who underwent a wide anterior neck dissection for recurrent thyroglossal duct cyst management between 1 January 2009 and 1 January 2015. Six males and one female were included in the series (mean age, 26.4 ± 10.9 years). Recurrence occurred at a mean of 18 ± 9.8 months following primary surgical management (3 patients underwent cystectomy and 4 had a Sistrunk procedure). All patients subsequently underwent wide anterior neck dissection; there was no further recurrence over the 12-month average follow-up period. This paper describes a wide anterior neck dissection technique for the management of recurrent thyroglossal duct cysts or sinuses in adults; this approach addresses the variable anatomy of the thyroglossal duct and is associated with minimal morbidity.

Risk Factors Affecting Recurrence of Thyroglossal Duct Cyst in Children

Risk Factors Affecting Recurrence of Thyroglossal Duct Cyst in Children

Obstructive lingual tonsil hypertrophy in recurrent thyroglossal duct cyst

The association between recurrent thyroglossal duct cyst (TGDC) and obstructive lingual tonsil hypertrophy has not previously been discussed. We present the case of a 7-year-old child whose medical and surgical course was complicated by these synchronous factors. The aim of this report is to present the risk factors for recurrence of TGDC and the unique challenge that concurrent lingual tonsil hypertrophy and airway obstruction present to management of patients.