DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20192715

Thyroglossal duct cyst: myriad presentations

S. Meenakshi, M. K. Rajasekar

Abstract


Background: Thyroglossal duct cysts are the most common midline neck swellings. They are routinely treated by surgeons with simple excision.

Methods: We present a retrospective study of a series of 30 cases operated in our hospital over a period of five years and the challenges faced during investigations, surgery and postoperative period. All patients were clinically diagnosed as thyroglossal duct cysts. The diagnosis confirmed with USG Neck and FNAC of the swelling. CECT NECK was used to delineate the normal thyroid and patients were subjected to Sistrunk procedure under general anesthesia.

Results: The outcome of all cases was good with one case being a revision surgery and another case going in for delayed healing due to infection. All patients were healthy with no complaints postoperatively.

Conclusions: This study validates the Sistrunk surgery as the best method of excision to avoid recurrences. This article highlights the variant presentations of this cyst in our institution and the challenges we faced in diagnosis, during surgery and later as well.


Keywords


Thyroglossal duct cysts, Thyroglossal fistula, Sistrunk surgery, Thyroglossal cyst abscess

Full Text:

PDF

References


Mondin V, Ferlito A, Muzzi E, Silver CE, Fagan JJ, Devaney KO, et al. Thyroglossal duct cyst: personal experience and literature review. Auris Nasus Larynx. 2008;35(1):11–25.

Dedivitis RA, Guimarães AV. Papillary thyroid carcinoma in thyroglossal duct cyst. Int Surg. 2000;85(3):198–201.

Mahnke CG, Jänig U, Werner JA, Rudert H. Primary papillary carcinoma of the thyroglossal duct: case report and review of the literature. Auris Nasus Larynx. 1994;21(4):258–63.

Watkinson J, Gaze M, Wilson J. In: Stell and Maran Textbook of Head and Neck Surgery. 4th edition. CRC Press; 2012.

Moorthy SN, Arcot R.Thyroglossal Duct Cyst—More Than Just an Embryological Remnant. Indian J Surg. 2011;73(1):28–31.

Soni S, Poorey VK, Chouksey S. Thyroglossal Duct Cyst, Variation in Presentation, Our Experience. Indian J Otolaryngol Head Neck Surg. 2014;66(4):398-400.

Tamiolakis D, Chimona TS, Proimos E, Georgiou G, Perogamvrakis G, Papadakis CE. Thyroglossal duct cyst: case series. Chirurgia (Bucur). 2008;103(6):699-703.

Pucher B, Jonczyk-Potoczna K, Kaluzna-Mlynarczyk A, Kurzawa P, Szydlowski J. The Central Neck Dissection or the Modified Sistrunk Procedure in the Treatment of the Thyroglossal Duct Cysts in Children: Our Experience. Biomed Res Int. 2018;2018:8016957.

Kim JP, Park JJ, Woo SH. No-Scar Transoral Thyroglossal Duct Cyst Excision in Children. Thyroid. 2018;28(6):755-61.

Amos J, Shermetaro C. Thyroglossal Duct Cyst.[Updated 2019 Feb 23]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2019.

Ezzat AE, Eid MI, Akel MM, El-Begermy MM, Abbas AY. The value of using loupe magnification and methylene blue dye in intra-operative identification of thyroglossal duct tract. Afr J Paediatr Surg. 2016;13(3):140-4.

Hilger AW, Thompson SD, Smallman LA, Watkinson JC. Papillary carcinoma arising in a thyroglossal duct cyst: a case report and literature review. J Laryngol Otol. 1995;109:1124-7.

Tarcoveanu E, Niculescu D, Elena CA, Vasilescu, Felicia C, Ferariu D, et al. Thyroglossal Duct Cysts. J de Chirurgie Iasi. 2009;5(1):1584–9341.

Chou J, Walters A, Hage R, Zurada A, Michalak M, Tubbs RS, et al. – Thyroglossal duct cysts: anatomy, embryology and treatment. Surg Radiol Anat. 2013;35(10):875-81.

Deaver MJ, Silman EF, Lotfipour S. Infected thyroglossal duct cyst. West J Emerg Med. 2009;10(3):205.

Chandanwale SS, Buch AC, Chawla KR, Mittal PU. Fine needle aspration cytology of thyroglossal duct cyst: diagnostic pitfalls and a study of 14 cases. Thyroid Res Pract. 2013;10:104-7.

Al-Thani H, El-Menyar A, Al Sulaiti M, El-Mabrok J, Hajaji K, Elgohary H, et al. Presentation, Management, and Outcome of Thyroglossal Duct Cysts in Adult and Pediatric Populations: A 14-Year Single Center Experience. Oman Med J. 2016;31(4):276–83.