The Central Neck Dissection or the Modified Sistrunk Procedure in the Treatment of the Thyroglossal Duct Cysts in Children: Our Experience

Pucher, Beata; Jończyk‐Potoczna, Katarzyna; Kałużna-Młynarczyk, Agata; Kurzawa, Paweł; Szydłowski, Jarosław

doi:10.1155/2018/8016957

Cited by 9 publications

(8 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Anterior neck swellings are among the common complaints a general surgeon sees at his regular OPD, which is mostly a goiter. Cysts in the neck are not uncommon [1–3, 5]. In goiter endemic areas cystic degenerations of a MNG is the most common finding.…”

Section: Discussionmentioning

confidence: 99%

“…The standard of care for patients with TGDC is Sistrunk’s operation, which is removing the cyst with the body (central part) of the Hyoid bone and ligation of the duct at the foramen of cecum [5, 7]. Because our patient’s diagnosis was a retention cyst a simple excision of the cyst was done.…”

Section: Discussionmentioning

confidence: 99%

“…After learning the diagnosis of the TGDC by histopathology we were considering the possibility of the patient developing Thyroglossal duct fistula which can occur in as high as 85% cases when Sistrunk’s operation was not done [5, 7]. Fortunately the patient didn’t develop it at least in the first 6 months post op.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Huge thyroglossal duct cyst at the supra-sternal notch

Abebe

2019

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Thyroglossal duct cysts (TGDC) are the most common congenital cysts in the neck. TGDC typically present as a midline swelling anywhere between the foramen cecum and the isthmus of the thyroid gland. Majority occurs just below the hyoid bone and those descending below the thyrohyoid membrane are rare. TGDC are usually less than 3 cm in diameter while big cysts are uncommon. We present a 19 years old female patient who presented with giant (12 cm diameter) supra-sternal notch cyst which was diagnosed as TGDC only after histopathology. The rarity of such huge TGDC in such uncommon site, which was misdiagnosed as a retention cyst (Mucocele) made us report this case.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Huge thyroglossal duct cyst at the supra-sternal notch

Abebe

2019

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

“…[5] The standard treatment of choice for thyroglossal duct cyst is Sistrunk's operation. [6,7] This operation entails excision of the mid-portion of the hyoid bone with the cystic portion, as well as excision of the thyroglossal duct between the foramen cecum at the tongue base and the hyoid bone to prevent cyst recurrence. [8]Simple excision of the cyst is associated with high rates of recurrence.…”

Section: Introductionmentioning

confidence: 99%

Sistrunk’s operation: Ten years’ experience in a teaching hospital

Koirala

2020

Nep J Med Sci

View full text Add to dashboard Cite

Introduction: Thyroglossal duct cyst (TGDC) is a congenital condition that results from persistence of thyroglossal duct. It commonly presents in the midline neck as a painless nodule. On physical examination, it moves with protrusion of tongue and on swallowing. Meticulous clinical history and physical examination are sufficient to make a correct preoperative diagnosis. Ultrasonography of the neck and fine needle aspiration cytology are other useful tools in the diagnosis. Although a congenital anomaly, it usually presents in the first and second decades of life. The standard treatment of choice for thyroglossal duct cyst is Sistrunk’s operation. The aims of this study are to identify the age of presentation of patients with thyroglossal cyst, its site of occurrence in relation to hyoid bone and to look for the patterns of recurrence after Sistrunk’s operation. Methods: This is a retrospective study with 34 patients over a period of ten years operated by a single surgeon. Patients treated by Sistrunk’s operation and confirmed as the thyroglossal duct after histopathology report were included in the study. Their demographic data, age at presentation, surgical treatment and recurrence rate were noted and analysis were made. Results: There was slight male predominance, majority of the thyroglossal cysts were found in the pediatric population and below the hyoid bone, and there were acceptable recurrences. Conclusions: Thyroglossal duct cyst is a disease of children. Sistrunk’s operation is the standard surgical procedure with minimal recurrence.

show abstract

“…They added 7 successful cases to the literature. In the ensuing decades, several centers around the world have reported the effectiveness of central neck dissection for the control of infected and recurrent thyroglossal [4][5][6][7] remnants.…”

Section: Introductionmentioning

confidence: 99%

Why Central Neck Dissection Works (and Fails) for Recurrent Thyroglossal Duct Remnants

Isaacson

Kaplon

Tint

2019

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

Objective: To review the patient characteristics and outcomes for children and undergoing central neck dissection for control of recurrent thyroglossal duct cysts and fistula following prior Sistrunk procedures and children requiring surgery for refractory infection. Methods: We performed a computerized review of all children who were evaluated for thyroglossal duct cysts during the years 1999-2018 by a single surgeon operating at an urban children’s hospital and an outpatient surgical center. Those requiring a central neck dissection for control of recurrent disease or intractable infection were identified. Age at time of surgery, sex, surgical procedure, and postoperative complications were recorded. These data were combined with similar data from a published report by the same surgeon in the years 1990-1998 to complete a 28-year review. Results: 18 central neck dissections were performed including 13 for recurrent thyroglossal duct remnants after Sistrunk procedures and 5 primary surgeries for intractable infection. Ages ranged from 3 to 19 years (median = 10 years) and 13 of 18 were girls (72%). Four children had their first Sistrunk surgery performed by the senior author. Three children operated elsewhere had intact hyoid bones at the time of revision surgery, suggesting less-than-Sistrunk primary surgeries. Central neck dissection controlled disease in the lower neck in all cases. One child re-fistulized at the level of the hyoid. Conclusions: Central neck dissection in combination with a Sistrunk-type dissection of the tongue base is effective in the control of recurrent infection following unsuccessful Sistrunk surgery and aids in dissection for children with intractable infection. Although this technique reliably controls infrahyoid disease and improves access to the hyoid and posterior hyoid space, it does nothing to address the difficulties of following the thyroglossal tract into the tongue base.

show abstract

The Central Neck Dissection or the Modified Sistrunk Procedure in the Treatment of the Thyroglossal Duct Cysts in Children: Our Experience

Cited by 9 publications

References 13 publications

Huge thyroglossal duct cyst at the supra-sternal notch

Huge thyroglossal duct cyst at the supra-sternal notch

Sistrunk’s operation: Ten years’ experience in a teaching hospital

Why Central Neck Dissection Works (and Fails) for Recurrent Thyroglossal Duct Remnants

Contact Info

Product

Resources

About