Management of Recurrent Thyroglossal Duct Cysts

Impact of Incision and Drainage of Infected Thyroglossal Duct Cyst on Recurrence After Sistrunk Procedure

“…Our patient demographics, rate of infection, and rate of recurrence are all consistent with the data found in previously reported large series. 2,3,[14][15][16][17][18][19][20][21][22][23][24][25] Our findings differ with regard to the proper management of preoperative infection. Traditional teaching has been to avoid incision and drainage and to rely on parenteral antibiotics and possible needle aspiration for refractory cases.…”

A decade of experience of thyroglossal cyst excision

“…Central compartment dissections have been described previously as a modification of the original Sistrunk procedure. 4,5,9 All have shown a reduced recurrence rate and echo Sistrunk's original description. 3 Proper central compartment dissection removes all tissue en bloc and so removes the whole thyroglossal complex, including the cyst and all duct remnants.…”

Central neck dissection for the treatment of recurrent thyroglossal duct cysts in childhood

“…Multiple ducts were present in 11 of their specimens, which extended from the hyoid bone to the foramen cecum. Mickel and Calcaterra 7 also found histologic evidence for multiple ducts in 3 of 20 patients with recurrent thyroglossal duct cysts. Horisawa et al 6 demonstrated varying numbers of branches and secretory glands emerging from the thyroglossal duct at levels caudal and cranial to the hyoid bone in 10 pathologic specimens.…”