“Extended” Sistrunk procedure in the treatment of recurrent thyroglossal duct cysts: A 10-year experience

Pastore, Valentina; Bartoli, Fabio

doi:10.1016/j.ijporl.2014.06.029

Cited by 20 publications

(21 citation statements)

References 35 publications

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“…In 1920 Sistrunk suggested that it is necessary rather to excise the core of tissues above the hyoid bone up to the foramen caecum than to separate the canal from the surrounding tissues in order to reduce the recurrence rate [ 10 ]. Few years later he modified his method and recommended that the foramen caecum and the tongue mucosa should be left intact and the core of the tissue resected from the suprahyoid region should be of 3 mm diameter [ 5 ]. Nevertheless, the recurrence still ranges from 3% to 47% according to various authors [ 5 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…The successful management of TGDC is based on an understanding of the embryology and the developmental anatomy of the thyroid gland [ 4 ]. Since the wide acceptance of the modified Sistrunk procedure the postoperative recurrence rate has dramatically decreased but still ranges up to 47% [ 5 ]. Histological findings have proved that the thyroglossal duct arborizes above and below the hyoid bone so this might lead to such high recurrence rate despite the use of the Sistrunk procedure [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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The Central Neck Dissection or the Modified Sistrunk Procedure in the Treatment of the Thyroglossal Duct Cysts in Children: Our Experience

Pucher

Jończyk‐Potoczna

Kałużna-Młynarczyk

et al. 2018

BioMed Research International

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Background The aim of the study was to present the surgical techniques providing the lowest recurrence rate in treatment of the primary and recurrent thyroglossal duct cyst (TGDC) in children. Methods The study included 73 patients operated on because of TGDC in years 2011–2016. Ultrasound was performed in all patients preoperatively. In 8 patients with the recurrence of the disease, the CT or MR was carried out before the surgery. Children with the primary disease underwent the modified Sistrunk procedure. In the revision cases the central neck dissection was a method of choice. Results In 45 children, the modified Sistrunk procedure was performed and 28 underwent the central neck dissection. In 2 patients, hematoma occurred after the modified Sistrunk procedure with the need of the surgical revision in one. No complications were observed after the central neck dissection. Conclusions A modified Sistrunk procedure is method of choice in the treatment of the uncomplicated TGDC. In selected cases of the TGDC with a history of infected cyst or incision of an abscess or in revision cases the central neck dissection should be considered in order to avoid the risk of the further recurrences.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Central Neck Dissection or the Modified Sistrunk Procedure in the Treatment of the Thyroglossal Duct Cysts in Children: Our Experience

Pucher

Jończyk‐Potoczna

Kałużna-Młynarczyk

et al. 2018

BioMed Research International

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“…Unfortunately, recurrence can occur after an apparently technically proficient procedure. In general, repeat Sistrunk procedures involve wider resection of tissue and more aggressive resection of the hyoid bone …”

Section: Discussionmentioning

confidence: 99%

Midline cervical swellings: What a paediatrician needs to know

Nightingale

2017

J Paediatrics Child Health

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“…Procenat recidiva se kreće, u zavisnosti od autora, od 4-10% i u direktnoj je vezi sa prethodnim prisustvom inflamacije TC. Na procenat recidiva utiče i izbor hirurške tehnike i veličina same ciste [10,11]. U slučaju recidiva, savjetuje se reoperativni zahvat sa širom incizijom suprahioidnog tkiva uključujući mukozu foramen caecum-a na bazi jezika, jer veći broj studija ukazuje da na rekurenciju TC, pored neadekvatne hirurške ekscizije utiče i prisustvo multiplih akcesornih kanalića koji se bočno odvajaju od tireoglosalnog stabla (tzv.…”

Section: Prikaz Bolesnikaunclassified

“…"božićno drvce"). U tom slučaju, većina autora predlaže proširenu Sistrunk-ovu operaciju, "en-block" disekciju vrata, suturno-navođenu transhioidnu faringotomiju ili Koempel-ovu suprahioidnu tehniku [10,12]. U novije vrijeme izvode se endoskopske cistektomije koje daju bolji kozmetski efekat i znatno cistom (Slika 3).…”

Section: Prikaz Bolesnikaunclassified

Thyroglossal cyst with oropharyngeal propagation in 40 year-old patient

Obrenović

Šolaja

Kojić

et al. 2018

Biomedicinska istraž.

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Uvod. Tireoglosalna cista predstavlja najčešću kongenitalnu anomalijuvrata i javlja se kod oko 7% ukupne populacije. Nastaje kaoposljedica izostanka obliteracije ductus thyreoglossus-a za vrijemetireoidne migracije tokom embrionalnog razvoja. Najčešće se dijagnostikujeu prvoj deceniji života, a dijagnoza se postavlja kliničkimpregledom, ehosonografijom, multislajsnom kompjuterizovanomtomografijom (MSCT) i/ili magnetnom rezonancom (MRI) glave ivrata, finom iglenom aspiracijom (FNA) i citološkom analizom punktata.Terapija je hirurška, operacijom po Sistrunk-u.Prikaz bolesnika. Četrdesetogodišnji pacijent je hospitalizovan radidijagnostike i liječenja tumora podvilične i podbradne regije i usnešupljine, sa dislokacijom jezika, otežanim gutanjem, i govorom. Pacijentje u ranom djetinjstvu uočio potkožnu izraslinu ispod bradekoja je postepeno rasla. Kliničkim pregledom vidi se potkožna tumorskamasa koja zahvata submentalnu i obje submandibularneregije predominantno lijevo uz intraoralnu prezentaciju submukoznogtumora koja u potpunosti ispunjava orofarinks i dislocirajezik udesno. MSCT poda usta i vrata ukazuje na nepravilno ovalnitumor veličine 120 x 95 x 90 mm, koji gornjim polom doseže dotvrdog nepca, zauzima usnu šupljinu te se spušta anterolateralnoi više lijevo u regiju vrata do hioidne kosti, udesno dislocirajući jezik,jednjak i strukture farinksa i larinksa. Citološka analiza sadržajaciste dobijenog FNA pokazuje da sadržaj odgovara tireoglosalnojcisti. U uslovima opšte nazotrahealne anestezije uradi se operacijapo Sistrunk-u sa odstranjenjem cističnog tumora i srednjeg dijelahioidne kosti uz repozicioniranje jezika. Postoperativni tok protekaouredno. Funkcije govora i gutanja u potpunosti rehabilitovane.Patohistološki nalaz je potvrdio da se radi o tireoglosalnoj cisti.Zaključak. Tireoglosalne ciste su najčešće kongenitalne anomalijevrata i uspješno se liječe operativnim zahvatom sa zadovoljavajućimishodom, niskom stopom komplikacija i malim procentom recidiva.

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“Extended” Sistrunk procedure in the treatment of recurrent thyroglossal duct cysts: A 10-year experience

Cited by 20 publications

References 35 publications

The Central Neck Dissection or the Modified Sistrunk Procedure in the Treatment of the Thyroglossal Duct Cysts in Children: Our Experience

The Central Neck Dissection or the Modified Sistrunk Procedure in the Treatment of the Thyroglossal Duct Cysts in Children: Our Experience

Midline cervical swellings: What a paediatrician needs to know

Thyroglossal cyst with oropharyngeal propagation in 40 year-old patient

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