Incidental radiographic findings of thyroglossal duct cysts: Prevalence and management

Sun

et al. 2018

AJNR Am J Neuroradiol

Section: Discussionmentioning

confidence: 99%

Long-Term Ultrasound Follow-Up of Incidentally Detected Thyroglossal Duct Cysts in Adults

Sun

et al. 2018

AJNR Am J Neuroradiol

“…Congenital tongue base cysts usually occur on the midline between the back of the tongue and the lingual foramen cecum. Most cysts are mucous retention cysts [2]. They are generally deep and covered with a thick layer of mucous membrane.…”

Section: Discussionmentioning

confidence: 99%

Infancy congenital tongue base cyst: clinical analysis of 37 cases

Zhu

Chen

et al. 2022

Preprint

Objective: To investigate the clinical characteristics of infant congenital tongue base cysts. Methods: This retrospective study involved 37 infants with congenital tongue base cysts in our hospital. Results: The median age at admission was 95 (15-360) d for these babies. The main clinical manifestations were laryngeal stridor (33/37 89.2%), dyspnea (8/37 21.6%), inspiratory trisomy (6/37 16.2%), and choking and vomiting milk (14/37 37.8%). Eight cases (21.6%) were misdiagnosed as laryngomalacia in another hospital, while 4 cases (10.8%) were misdiagnosed as pneumonia. One case required emergency intubation for rescue due to dyspnea before surgery. The root of the tongue was found to occupy space during intubation. Six cases (16.2%) had cysts found through CT examination. Three cases (8%) had cysts found during bronchoscopy due to pneumonia. The remaining cysts were found in the root of the tongue through laryngoscopy. Laryngoscopy was performed in all children before the operation, and CT examination in 28 patients before the operation showed that the median diameter of the cyst was 10 mm (5-20 mm), All children underwent radiofrequency ablation of glossal root cysts through laryngoscopy. Eight patients were transferred to the intensive care unit (ICU) for treatment post-operatively. The median intubation time was 4.5 days (2-5 days). Conclusion: Infancy congenital tongue base cysts have an early onset and atypical clinical manifestations. Electronic laryngoscopy combined with neck CT should be performed promptly in patients with laryngeal stridor and feeding difficulty to facilitate accurate diagnosis, and timely surgery is needed.

“…Our study findings revealed that RIT may increase the prevalence of TGDCs, particularly in male subjects, but may not influence the location, size, and shape of TGDCs. Although TGDC is typically recognized in pediatric patients, it has also been known to present in adults, with varying frequency (10)(11)(12). The prevalence of TGDC varies, based on factors such as study population and detection methods.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Features of Thyroglossal Duct Cyst on Ultrasonography, According to Radioactive Iodine Therapy: A Single-Center Study

et al. 2020

Objective: The relationship between radioactive iodine therapy (RIT) and prevalence of thyroglossal duct cysts (TGDC) on ultrasonography (US) has not been reported. We assessed the prevalence and US features of TGDC according to RIT.Methods: From July 2017 to June 2018, 3,146 subjects underwent thyroid or neck US at our center. The presence or absence of TGDCs was prospectively investigated based on real-time US examination. Among the 3,146 subjects, 261 subjects were excluded because of <18 years of age, unclear information of RIT, or the presence of a radiation therapy history to the neck. Eventually, 2,885 subjects were included in this study.Results: Of the 2,885 subjects finally included, 126 (4.4%) showed a TGDC on US. Those with RIT history showed a higher prevalence of TGDCs than those without (no statistical difference, p = 0.062). In 697 male subjects, there were statistical differences in type of surgery, RIT history, and session number of RIT between those with or without TGDCs (p < 0.0001). In 126 subjects with TGDCs, only sex showed a significant difference between those with or without RIT history (p = 0.015). However, there were no significant differences in the location, size, and shape of TGDCs (p > 0.05). The common US features of TGDC were suprahyoid location, ∼1 centimeter, and flat-to-ovoid or round shape.Conclusions: RIT may increase the prevalence of TGDCs, particularly in men.