Thyroglossal duct cyst and sinuses: A 20-year Los Angeles experience and lessons learned

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

“…The most common adverse outcome in this study was a superficial site infection. 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 …”

“…Geller et al. (2014) found a recurrence rate of 4% for surgeons trained in paediatric otolaryngology, and 30% for surgeons trained in plastic or paediatric surgery in a 127 patient series. Perkins et al.…”

“…The defect consists of a fibrous cyst left by a persistent embryologic thyroglossal duct . Surgical excision may be indicated to prevent infection or cosmetic defects; the Sistrunk procedure remains the standard approach and is usually performed by an otolaryngologist or general surgeon …”

“…While this procedure has existed since the 1920s, the setting of this surgery has recently come under scrutiny. Patients had typically been admitted postoperatively, but there has been a recent trend towards outpatient management with studies showing equivalent outcomes.…”

“…Patients had typically been admitted postoperatively, but there has been a recent trend towards outpatient management with studies showing equivalent outcomes. Likewise, it has been suggested that otolaryngologists have more favourable outcomes, in particular fewer recurrences, than surgeons with other training …”