Diagnostic and surgical evaluation of thyroglossal duct cyst and fistula patients: Seven year experience of our clinic

Abstract

Objective: Thyroglossal duct cysts (TGDCs) are one of the most common midline neck masses in children. They may be found in adults as well. The aim of this study was to evaluate the demographics of patients diagnosed with TGDCs and to discuss the diagnosis, treatment plans, and follow-up details. Methods: The data of 91 patients diagnosed with TGDCs in our clinic between January 2010 and February 2017 were obtained. They included demographics, medical records, a postoperative follow-up, and complications. The pathology confirmed TGDCs in all 91 cases. Results: Of 91 patients, 49 (53%) were males, and 42 (46%) were females. The mean age of patients was 20.29. Patients complained of a cystic midline mass in 47 (52%) of cases, and fistulas in the midline neck area in 43 of (47%) cases. All patients underwent the Sistrunk procedure. Fourteen (15%) patients relapsed. Conclusion: TGDCs should be considered in differential diagnosis of midline neck masses in all ages. A physical examination and ultrasonography are the easiest and the most accurate methods in diagnosis. The Sistrunk procedure with its low recurrence rates is the gold standard method in the treatment.