Recurrences after thyroglossal duct cyst surgery: Results in 207 consecutive cases and review of the literature

Rohof, D.; Honings, Jimmie; Theunisse, H.J.; Schutte, Henrieke W.; Hoogen, F.J.A. van den; Broek, Guido B. van den; Takes, Robert P.; Wijnen, Marc H. W. A.; Marres, H.A.M.

doi:10.1002/hed.23817

Cited by 70 publications

(68 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The 3% rate identified is similar to a large review that suggested a 3%‐6% postoperative infection rate, although some single‐institution studies have found higher rates . While postoperative infections are generally well‐tolerated, one study found postoperative infections to be associated with TGDC recurrence …”

Section: Discussionsupporting

confidence: 75%

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

Farquhar

Rawal

Masood

et al. 2018

Clinical Otolaryngology

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 75%

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

Farquhar

Rawal

Masood

et al. 2018

Clinical Otolaryngology

View full text Add to dashboard Cite

“…This ensures removal of the entire thyroglossal duct remnants as the procedure includes removal of the mid portion of the hyoid bone along with a cylinder of tissue to include the base of tongue. Incomplete surgical removal has the greatest impact on recurrence as recurrence rates have been shown to be significantly higher in patients managed by cystectomy rather than Sistrunk procedure [24,25,42]. In this clinical series, 70 % of recurrences occurred in patients treated by cystectomy, further emphasizing the importance of the Sistrunk operation in the surgical management of TGDC.…”

Section: Discussionmentioning

confidence: 77%

“…This differs from data reported by others indicating this particular clinical presentation to be significantly more frequent in adults than in children [12,23]. TGDC are uncommonly associated with dysphagia or airway obstruction [10,12,13,24]. A recent meta analysis of 1015 patients with cystic cervical masses, highlighted infection/abscess, fistula/ draining sinus, dysphagia, and airway obstruction as the main clinical presentation and symptoms of TGDC in decreasing order of frequency [25].…”

Section: Discussionmentioning

confidence: 82%

“…Most complications are minor, and carry minimal morbidity including local infection, seroma, hematoma, and wound dehiscence [4,10,16,24,25]. In reviews of the published literature, the overall reported risk of recurrence following surgical treatment of TGDC is approximately 7.3-11 % [24,25,42]. The standard treatment for TGDC is the Sistrunk procedure.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Clinicopathologic Series of 685 Thyroglossal Duct Remnant Cysts

Thompson¹,

Herrera²,

Lau³

2016

Head and Neck Pathol

104

View full text Add to dashboard Cite

The clinical features of thyroglossal duct remnant cysts (TGDC) have been well described, however the histopathologic aspects of these lesions have not been addressed in a detailed manner. In particular, there has been no large community practice based series evaluating TGDC histologically compared with management outcomes. A retrospective review of all TGDC diagnosed between 2005 and 2015 was performed. Six hundred eighty-five patients were identified (344 males; 341 females). Age at presentation was bimodal (first and fifth decades) and ranged from 0.8 to 87 years (mean 31.3 years). Males predominate in children (150:111); females in adults (230:194). Patients presented most frequently with a mobile midline neck mass in an infrahyoid location. An associated skin fistula (n = 67) was twice as common in pediatric as adult patients. The average cyst size was 2.4 cm (range 0.4-9.9 cm) by imaging studies and 2.6 cm (range 0.2-8.5 cm) by pathologic examination; pediatric patients had smaller cysts (mean 2.1 cm) than adults (mean 2.8 cm). Histologically, 257 (38 %) TGDC were lined by respiratory epithelium alone, 68 (10 %) squamous epithelium alone, 347 (51 %) exhibited both respiratory and squamous epithelium, and 13 (1 %) had no identifiable epithelial lining. Four hundred eighty-four (71 %) TGDC had associated thyroid gland tissue present within the cyst wall (n = 282), skeletal muscle (n = 71), adipose tissue (n = 34), or a combination of these sites (n = 97). The hyoid bone was identified in 647 (grossly and/or histologically), and absent in 38. Surgical management consisted of Sistrunk procedure (n = 647), cystectomy (n = 31), or thyroidectomy/thyroid lobectomy (n = 7). Treatment related complications were observed in 6 patients, which included vocal cord damage, seroma, and hematoma. Recurrences developed in 20 (3 %) patients, 14 of whom were managed initially by cystectomy. Papillary thyroid carcinoma was identified in 22 (3.2 %) TGDC. In summary, TGDC show a bimodal peak in the 1st and 5th decades, commonly presenting as a midline cervical lesion below the hyoid bone, associated with a skin fistula in 10 %. Histologically TGDC are most commonly lined by a combination of respiratory and squamous epithelium. Thyroid gland tissue is identified in 71 % of cases (0.45 cm mean size), although not limited to the cyst wall, but present in the surrounding soft tissues. Rare TGDC may harbor malignancy (3.2 %). TGDC are most effectively managed by Sistrunk procedure rather than excision, which carries low rates of complications (1 %) and recurrence (3 %).

show abstract

“…To minimize the risk of recurrence after resection, removal of the central portion of the hyoid bone is typically included in the curative excision of the cyst and/or sinus tract (eg, Sistrunk procedure, modified Sistrunk procedures) . Factors influencing the recurrence rate after the Sistrunk procedure (2.6%) are, eg, postoperative infection, the presence of multiple tracts and distorted anatomy due to preoperative infection …”

Section: Congenital Cystic Massesmentioning

confidence: 99%

Lumps and Bumps of the Neck in Children—Neuroimaging of Congenital and Acquired Lesions

Dremmen

Tekes

Mueller

et al. 2016

Journal of Neuroimaging

View full text Add to dashboard Cite

Neck masses present as palpable lumps and bumps in children with acquired lesions more common than congenital ones. Assessment of the anatomical site of origin, signal, and contrast enhancement characteristics may help define the etiology of the lesions, eg, developmental, inflammatory, vascular, or neoplastic. The age of the patient along with detailed clinical history and physical exam findings are important element to narrow down the differential diagnosis. The correct final diagnosis is essential to guide treatment as well as the urgency of intervention. The objective of this review is to define the characteristic location, classic and differentiating imaging features of the most frequent congenital and acquired cervical lumps and bumps in the pediatric population.

show abstract

Recurrences after thyroglossal duct cyst surgery: Results in 207 consecutive cases and review of the literature

Abstract: The Sistrunk procedure is the treatment of choice for thyroglossal duct cysts because it yields low recurrence and morbidity. Postoperative infections, rather than preoperative infections, are associated with recurrence.

Cited by 70 publications

References 23 publications

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

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

A Clinicopathologic Series of 685 Thyroglossal Duct Remnant Cysts

Lumps and Bumps of the Neck in Children—Neuroimaging of Congenital and Acquired Lesions

Contact Info

Product

Resources

About