Incidence and outcome of thyroglossal duct cyst
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20201092Keywords:
Thyroglossal duct cyst, Sistrunk’s procedure, Ultrasonography, Fine needle aspiration cytologyAbstract
Background: Thyroglossal duct cyst (TGDC) is the cyst in the cervical midline that arises from the embryonic remnant of the thryroglossal duct. It is most common congenital abnormality in the head and neck region which may present at any age particularly occur in children. The definitive treatment is surgical excision of the cyst and tract.
Methods: It is a cohort retrospective study of 26 cases in the Department of Otorhinolaryngology and Head-Neck surgery, Comilla Medical College Hospital, Bangladesh from 01 July 2016 to 31 June 2019.
Results: Incidence of TGDC was 0.02% out of total outdoor patient and 0.94% in total indoor routine operation. All patient was operated by Sistrunk’s procedure and recurrent 2 (7.69%) cases were operated by modified or extended Sistrunk’s procedure without complications afterwards. Of them female was 14 (53.85%), male was 12 (46.15%), children were 22 (84.61%), adult were 4 (15.35%). Infrahyoid was 21 (80.76%), surahyoid was 5 (19.24%). The patient presented as painful abscess were 10 (38.46%) and fistula were 3(11.51%), painless cyst was 8 (30.77%) and fistula were 5 (19.24%).
Conclusions: TGDC is common congenital anomaly. It has a various type of presenting feature. Sistrunk’s procedure is gold standard surgical treatment procedure. But recurrence cases need modified or extended Sistrunk’s procedure to minimize the postoperative complication and manage the patient’s hope and requirements.
References
Marshall SF, Becker WF. Thyroglossal Cysts and Sinuses, Ann Surg. 1989;129:642-51.
Mondin V, Ferlito A, Muzzi E, et al. Thyroglossal duct cyst:personal experience and literature review. Auris-Nasus Larynx 2008;35:642-651.
Allard RH. The Thyroglossal cyst. Head-Neck Surg. 1982;5:134-46.
Pollock WF, Stevenson EO, Cysts and sinuses of the thyroglossal duct. Am J Surg. 1966;112:225-32.
Baily BJ, Johonson JT. Head and Neck Surgery-Otolaryngology. 4th ed. Chapter 86. Lippincott Williams & Wilkins; 2006.
Santiago W, Rybak LP, Bass RM. Thyroglossal duct cyst of the tongue. J Otolaryngol. 1985;14:261-4.
Mickel RA, Calcaterra TC. Management of recurrent Thyroglossal duct cysts. Arch Otolaryngol. 1983;109:34-6.
Baatenburg de Jong RJ, Ronge RJ, Lameris JS, Knegt P, Verwoerd CDA. Ultrasound Characteristics of Thyroglossal duct anomalis. ORL. 1993;55:299-302.
Brown PM, Judd ES. Thyroglossal duct cysts and sinuses;Result of radical(sistrunk) operation. Am J Surg. 1961;102:495-501.
Ali AA, Al-Jandan B, Suresh CS, Subae A. The relationship between the location of thyroglossal duct cysts and epithelial lining. Head Neck Pathol. 2013;7(1):50-53.
Wordsworth DT, Siejel MJ. Thyroglossal duct cysts: Variability of Sonographic findings. AJR Am J Roentgenol. 1994;169:1475-7.
Wagner G, Medina JE. Excision of thyroglossal duct cyst:The sistrunk’s procedure. Open Tech Otolaryngol. 2004;15:220-3.
Schlange H. Ueber die Fistula congenital. Arch Klin Chir. 1893;46:390-2.
Sistrunk WE. The surgical treatment of cysts of the thyroglossal tract. Ann Surg. 1920;71:121-4.
Patel NN, Hartley BE, Howard DJ. Management of thyroglossal tract disease afterfailed sistrunk’s procedure. J laryngol Otol. 2003;117:710-2.
Hassan E, See GB, Aziz DA. Thyroglossal Duct Cysts-A Ten Years Retrospective View. Eastern J Med. 2014;19:112-118.
Meenakshi S, Rajasekar MK. Thyroglossal duct cyst:Myriad presentation. In J Otorhinolaryngol Head Neck Surg. 2019;5(4):973-7.
Menamara K, Olaleye O, Smith J, Karamchandani D, Watkinson J. A rare case of a concurrent large thyroglossal duct cyst with a base of tongue haemangioma. BMJ Case Rep. 2011;bcr1020103393.
Josephson GD, Spencer WR, Josephson JS. Thyroglossal duct cyst:The New york Eye and Ear Infirmary experience and a literature review. Ear Nose Throat J. 1998;77(8):642-4.
Trimble KG, McCadden L. Scott-Brown’s Otorhinolaryngology Head & Neck Surgery. Eighth Edition. Volume-2. Section-1. Chapter-41. CRC Press; 2018: 470-471.
Oslie DJ, Burjonrappa SC, Snyder CL. Thyroglossal duct infections and surgical outcomes. J Pediatr Surg. 2004;39:396-9.
Kerpentis C, Anastasiadis K, Lambropoulos V. Diagnosis and Surgical approach of thyroglossal duct cyst in children:Ten years data review. J Clin Diagn RCS. 2015;9(12);13-5.
Dedivitis RA, Camargo DL, Peixoto GL, Weissman L, Guimaraes AV. Thyroglossal duct:A review of 55 cases. J Am CoII Surg. 2002;194:274-7.
Lim-Dunham JE, Feinstein KA, Yousefzadeh DK, Ben-Amit. Sonographic demonstration of a normal thyroid gland exclude ectopic thyroid in patients with thyroglossal duct cyst. AJR Am J Roentgenol. 1995;164:1489-91.
Radkowski D, Arnold J, Healy GB. Thyroglossal duct remnants-Pre operative evaluation and management. Arch Otolaryngol head Neck Surg. 1991;117:1378-81.