Management of thyroglossal duct cysts in children

Türkyılmaz, Zafer; Sönmez, Kaan; Karabulut, Ramazan; Demirgoullari, Billur; Sezer, Cem; Başaklar, A. Can; Kale, Nuri

doi:10.1111/j.1442-200x.2004.01838.x

Cited by 60 publications

(38 citation statements)

References 15 publications

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“…Most of the studies reported an equal distribution of TGDCs among males and females [6,11,12]. While Hsieh et al [4] and Turkyilmaz et al [7] observed male and female predominance respectively. In our series, we observed male predominance in both groups.…”

Section: Discussionmentioning

confidence: 99%

“…Schlange then proposed the method of removing mid portion of hyoid bone along with cyst, a procedure that had a recurrence rate of 20% [7]. After the Sistrunk operation introduced in 1920, the recurrence rate reduces to 3-6% [6,12] and it is the standard surgical technique performed for TGDC even today.…”

Section: Discussionmentioning

confidence: 99%

“…Schlange in 1893 described the treatment of TGDCs by removing the central portion of the hyoid bone along with the cyst, which results in higher recurrence rate [7]. In 1920, Walter Ellis Sistrunk proposed the surgical management of this congenital abnormality by doing an en bloc cystectomy, central hyoidectomy, and tract excision up to the foramen caecum, which reduces recurrence rate significantly [8,9] and this remains the standard surgical approach till today.…”

Section: Introductionmentioning

confidence: 99%

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A Decade of Experience of Management of Thyroglossal Duct Cyst in a Tertiary Care Hospital: Differentiation Between Children and Adults

Zaman

Ikram

Awan

et al. 2016

Indian J Otolaryngol Head Neck Surg

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Variations in thyroglossal duct cysts (TGDCs) between children and adult are mentioned very little in literature. The lesion mostly found in children but adult population also possesses this anomaly. The aim of this study was to determine the differences in clinical presentations and surgical outcomes of TGDC between children and adults. A retrospective chart review of all patients with TGDCs managed in our hospital from July 2004 to June 2014. All records were reviewed for age, sex, location of cyst in neck and with relation to hyoid bone, size, postoperative complication and recurrence rates. Differences between children and adults were assessed. A total of 39 patients (21 children and 18 adults) were treated for TGDC. Of the pediatric group, 71.4% were male and 28.5% were female, whereas 72.2% of the adults were male and 27.7% were female. Adults were more likely to develop other complaints like neck pain, dysphagia and dyspnea. Position was almost similar in both age groups with midline and infrahyoid location while laterality was seen in adult only. Size of Cyst was found to be larger in adults. The recurrence and post operative complication rates between children and adults were not significantly different. TGDC has male predominance. Clinical presentations were almost similar in both age groups. Although lateral deviation, increase size of cyst and recurrences were seen in adults only, Sistrunk procedure is recommended as a safe and standard surgical treatment in both age groups.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Decade of Experience of Management of Thyroglossal Duct Cyst in a Tertiary Care Hospital: Differentiation Between Children and Adults

Zaman

Ikram

Awan

et al. 2016

Indian J Otolaryngol Head Neck Surg

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“…We therefore propose that if an incidental TGDC is discovered during surgery, it should be managed in the same manner as a symptomatic TGDC and excised in continuity with the middle third of the hyoid [10][11][12][13][14][15] An exception would be if a Sistrunk procedure would compromise the outcome of the planned surgery. In our small series, a Sistrunk procedure did not negatively impact the outcome of laryngotracheal reconstruction, with all four children being successfully decannulated.…”

Section: Discussionmentioning

confidence: 99%

Management of incidental thyroglossal duct cysts during laryngotracheal reconstruction

Burkart

Myer

Cotton

et al. 2006

International Journal of Pediatric Otorhinolaryngology

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“…Los defectos del conducto tirogloso se producen por la falta de obliteración del mismo que, normalmente, ocurre en la séptima semana de la vida embrionaria (8).…”

Section: Revisión Del Temaunclassified

Localización atípica del quiste tirogloso

Zurita¹,

Arévalo²,

Borraez³

2016

Rev. Sal. Bosq

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ResumenEl quiste tirogloso es una malformación congénita asociada a la falta de involución del conducto tirogloso, ubicado entre el foramen de la lengua y la glándula tiroides. Su incidencia predomina en la infancia, aunque también se puede presentar en la adultez. Es común que la presencia de infecciones de las vías aéreas superiores o el desarrollo de fístulas hagan parte del cuadro clínico del paciente y se evidencie una masa.Se reporta el caso de un paciente de sexo masculino de 39 años de edad, que cursó con una lesión nodular correspondiente a un quiste tirogloso con apariencia de tejido tiroideo residual, de localización atípica en la línea media suprahiodea, que fue removido quirúrgicamente. Dada su ubicación, se requirió la pertinente planeación imaginoló-gica y prequirúrgica para la valoración de la glándula tiroides con el fin de resecar toda la lesión, usando la técnica de Sistrunk con remoción total del hueso hioides para evitar la recurrencia. Se discuten las características clínico-patoló-gicas de la enfermedad y se establece la importancia de la ubicación para la toma adecuada de decisiones clínicas o quirúrgicas que permitan brindar un tratamiento con un resultado seguro y eficaz para el paciente.Palabras clave: quiste tirogloso, fístula, glándula tiroides, técnica de Sistrunk AbstractThe thyroglossal cyst is a congenital abnormality resulting from a defective closing of the duct located between the foramen of the tongue and the thyroid gland. Its incidence predominates in childhood, although it can also occur in adulthood. It is common that the presences of upper ResumoO quisto tireoglosso é uma malformação congénita associada à falta de involução do conduto tireoglosso localizado entre o ovale da língua e a glândula tiroides. Sua incidência predomina na infância, embora também possa se apresentar nos adultos, sendo comum na clínica do paciente

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Management of thyroglossal duct cysts in children

Abstract: Misdiagnosis is the most common cause of inadequate and inappropriate surgery, leading to recurrence of the lesion. The authors recommend a Sistrunk procedure for all cases of suspected thyroglossal duct cysts.

Cited by 60 publications

References 15 publications

A Decade of Experience of Management of Thyroglossal Duct Cyst in a Tertiary Care Hospital: Differentiation Between Children and Adults

A Decade of Experience of Management of Thyroglossal Duct Cyst in a Tertiary Care Hospital: Differentiation Between Children and Adults

Management of incidental thyroglossal duct cysts during laryngotracheal reconstruction

Localización atípica del quiste tirogloso

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