Outpatient management and surgeon specialty for thyroglossal duct cyst excision: A retrospective analysis of 377 patients and 30‐day outcomes in the American College of Surgeons <scp>NSQIP</scp>‐P Database

Farquhar, Douglas R.; Rawal, Rounak B.; Masood, Maheer M.; McClain, Wade G.; Kilpatrick, Lauren A.; Rose, Austin S.; Zdanski, Carlton J.

doi:10.1111/coa.13170

Cited by 5 publications

(2 citation statements)

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“…Our findings expand on the prior work by Farquhar et al in several ways. 5 First, our cohort is four times the size of the previous investigation, allowing us to report results based on a more sizeable base. Also, we tried to include surgery for recurrent thyroglossal duct cysts.…”

Section: Discussionmentioning

confidence: 99%

Current trends and 30-day surgical outcomes for thyroglossal duct cyst excision in children

Cheng

Lerebours

Lee

2020

International Journal of Pediatric Otorhinolaryngology

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Objective: Identify current trends, adverse events, and clinical predictors in children treated with thyroglossal duct cyst surgery.Methods: Cross-sectional analysis using American College of Surgeons (ACS) National Surgical Quality Improvement Program® (ACS NSQIP® -pediatric), years 2012 -2016. Patients were identified using CPT codes: 60280 -excision of thyroglossal duct cyst or sinus and 60281excision of thyroglossal duct cyst or sinus, recurrent.Results: 1532 (333 inpatient and 1199 outpatient) total cases were identified. Median age was 5.16 years interquartile range [IQR] (2.87, 8.35 years). No mortalities, cases of sepsis or nerve injury were identified. Adverse event rate was 4.4% (68/1532). Inpatient cases were associated with higher rates of adverse events (p = 0.006). Adverse events mostly consistent of wound infections, unplanned reoperations and readmissions, 2.6%, 2.2% and 2.0%, respectively. The most common unplanned reoperation was hematoma, seroma, or fluid drainage (0.59%). Median length of stay was 1 day, IQR (0, 1). An adjusted, multivariable logistic regression model revealed that the odds of adverse event rates for inpatient status were 101% higher than outpatients (odd ratio [OR] = 2.01; 95% CI = 1.20, 3.37; p = 0.008). Conclusions:The most common adverse events were unplanned reoperations and readmissions. Outpatient surgery was most common and surgery for recurrent thyroglossal duct cysts was rare. Children selected for outpatient thyroglossal duct cyst surgery tended to be healthier and less medically complicated and may contribute to our observation of lower rates of adverse events compared to inpatients.

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Section: Discussionmentioning

confidence: 99%

Current trends and 30-day surgical outcomes for thyroglossal duct cyst excision in children

Cheng

Lerebours

Lee

2020

International Journal of Pediatric Otorhinolaryngology

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“…Superficial infection at the local wound site is the most common complication, and it is usually well tolerated. [16] Hematoma, undesired scar tissue, cervical edema, rupture of the cyst the during procedure, and recurrence are other possible complications. In our study, a total of 3 (3%) patients had a local wound site infection, 2 (2%) had hematoma, and 2 (2%) had undesired scar formation; none of them required surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

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

Evman¹

2018

South Clin Ist Euras

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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.

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Outpatient Sistrunk procedure: A retrospective analysis

Pool

Rosi‐Schumacher

Ehret

et al. 2020

International Journal of Pediatric Otorhinolaryngology

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Outpatient management and surgeon specialty for thyroglossal duct cyst excision: A retrospective analysis of 377 patients and 30‐day outcomes in the American College of Surgeons NSQIP‐P Database

Cited by 5 publications

References 10 publications

Current trends and 30-day surgical outcomes for thyroglossal duct cyst excision in children

Current trends and 30-day surgical outcomes for thyroglossal duct cyst excision in children

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

Outpatient Sistrunk procedure: A retrospective analysis

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