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

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Beata Pucher ◽  
Katarzyna Jonczyk-Potoczna ◽  
Agata Kaluzna-Mlynarczyk ◽  
Pawel Kurzawa ◽  
Jaroslaw Szydlowski
Keyword(s):  
Neck Dissection ◽  
Surgical Techniques ◽  
Central Neck Dissection ◽  
Central Neck ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Infected Cyst ◽  
History Of ◽  
Sistrunk Procedure ◽  
Thyroglossal Duct Cysts

Background. The aim of the study was to present the surgical techniques providing the lowest recurrence rate in treatment of the primary and recurrent thyroglossal duct cyst (TGDC) in children. Methods. The study included 73 patients operated on because of TGDC in years 2011–2016. Ultrasound was performed in all patients preoperatively. In 8 patients with the recurrence of the disease, the CT or MR was carried out before the surgery. Children with the primary disease underwent the modified Sistrunk procedure. In the revision cases the central neck dissection was a method of choice. Results. In 45 children, the modified Sistrunk procedure was performed and 28 underwent the central neck dissection. In 2 patients, hematoma occurred after the modified Sistrunk procedure with the need of the surgical revision in one. No complications were observed after the central neck dissection. Conclusions. A modified Sistrunk procedure is method of choice in the treatment of the uncomplicated TGDC. In selected cases of the TGDC with a history of infected cyst or incision of an abscess or in revision cases the central neck dissection should be considered in order to avoid the risk of the further recurrences.

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

2019 ◽  
Vol 128 (11) ◽  
pp. 1041-1047
Author(s):  
Glenn Isaacson ◽  
Adam Kaplon ◽  
Derrick Tint
Keyword(s):  
Neck Dissection ◽  
Recurrent Infection ◽  
Central Neck Dissection ◽  
Senior Author ◽  
Tongue Base ◽  
Similar Data ◽  
Central Neck ◽  
Thyroglossal Duct ◽  
Thyroglossal Duct Cysts ◽  
Thyroglossal Duct Remnants

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.

Wide anterior neck dissection for management of recurrent thyroglossal duct cysts in adults

2016 ◽  
Vol 130 (S4) ◽  
pp. S41-S44 ◽  
Author(s):  
L M O'Neil ◽  
D A Gunaratne ◽  
A T Cheng ◽  
F Riffat
Keyword(s):  
Neck Dissection ◽  
Thyroglossal Duct Cyst ◽  
Anterior Neck ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Sistrunk Procedure ◽  
Cyst Recurrence ◽  
Thyroglossal Duct Cysts ◽  
Dissection Technique

AbstractObjective:Thyroglossal duct cyst recurrence following resection is attributed to anatomical variability and residual thyroglossal ducts. In adults, thyroglossal duct cyst recurrence is extremely rare and a surgical solution is yet to be well explored. This paper describes our approach to the management of recurrent thyroglossal duct cysts and sinuses in adults using a wide anterior neck dissection.Method:A retrospective review was performed to identify adults who underwent a wide anterior neck dissection for recurrent thyroglossal duct cyst management between 1 January 2009 and 1 January 2015.Results:Six males and one female were included in the series (mean age, 26.4 ± 10.9 years). Recurrence occurred at a mean of 18 ± 9.8 months following primary surgical management (3 patients underwent cystectomy and 4 had a Sistrunk procedure). All patients subsequently underwent wide anterior neck dissection; there was no further recurrence over the 12-month average follow-up period.Conclusion:This paper describes a wide anterior neck dissection technique for the management of recurrent thyroglossal duct cysts or sinuses in adults; this approach addresses the variable anatomy of the thyroglossal duct and is associated with minimal morbidity.

Thyroglossal duct cyst anterior to the sternum: a novel presentation of a common lesion

2020 ◽  
Vol 13 (11) ◽  
pp. e236515
Author(s):  
Jordan Whitney Rawl ◽  
Nicholas Armando Rossi ◽  
Matthew G Yantis ◽  
Wasyl Szeremeta
Keyword(s):  
Hyoid Bone ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Tongue Protrusion ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Neck Masses ◽  
Close Proximity ◽  
Sistrunk Procedure ◽  
Thyroglossal Duct Cysts

Thyroglossal duct cysts (TDCs) arise in roughly 7% of the general population and are typically diagnosed in childhood within the first decade of life. Typically, patients present with a painless, midline neck mass in close proximity to the hyoid bone which classically elevates with deglutition and tongue protrusion. We present a case of TDC found anterior to the sternum, a major deviation from the classical understanding of this lesion. The patient was treated successfully with modified Sistrunk procedure. This case underscores the need for clinicians to maintain a wide differential while working up paediatric patients presenting with neck masses. Furthermore, we emphasise that TDC must always be considered in cases of midline paediatric neck masses, even when found in unusual locations such as presented here.

scholarly journals Coexisting Thyroglossal Duct Cyst with Papillary Thyroid Cancer: A Case Report and Literature Review

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Abdullah A. Alarfaj ◽  
Ahmed Zekri ◽  
Ibrahim Alyaeesh ◽  
Ahmed Alomairin ◽  
Abdulrahman Al Naim
Keyword(s):  
Thyroid Cancer ◽  
Papillary Thyroid Cancer ◽  
Needle Aspiration ◽  
Central Neck Dissection ◽  
Papillary Thyroid ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
History Of ◽  
Detection And Diagnosis

Thyroglossal duct cysts (TGDCs) are common developmental anomalies in which the thyroglossal duct is not obliterated. Coexisting papillary thyroid cancer and TGDC are uncommon and should be investigated thoroughly to rule out TGDC carcinoma. We report a rare case of coexisting papillary thyroid cancer and TGDC in a 48-year-old man, who presented with a history of recurrent mild painful midline neck swelling, and ultrasound (US) revealed a TGDC that was subsequently managed conservatively. On follow-up after 1.6 years, a thyroid US and a fine-needle aspiration (FNA) biopsy were performed, which showed malignant papillary thyroid carcinoma. Total thyroidectomy, the Sistrunk procedure, and central neck dissection were implemented. After three days, the patient was discharged on 150 mg of levothyroxine. Follow-up was unremarkable with no complications. The authors would like to stress the importance of regular TGDC and thyroid gland follow-ups for early detection and diagnosis of thyroid malignancy via clinical examination and US.

scholarly journals Thyroglossal duct cyst: myriad presentations

2019 ◽  
Vol 5 (4) ◽  
pp. 973
Author(s):  
S. Meenakshi ◽  
M. K. Rajasekar
Keyword(s):  
Retrospective Study ◽  
Postoperative Period ◽  
Revision Surgery ◽  
Thyroglossal Duct Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Normal Thyroid ◽  
Delayed Healing ◽  
Sistrunk Procedure ◽  
Thyroglossal Duct Cysts

<p class="abstract"><strong>Background:</strong> Thyroglossal duct cysts are the most common midline neck swellings. They are routinely treated by surgeons with simple excision.</p><p class="abstract"><strong>Methods:</strong> 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.</p><p class="abstract"><strong>Results:</strong> 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.</p><p class="abstract"><strong>Conclusions:</strong> 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.</p>

Thyroglossal Duct Cysts: A Consideration in Adults

2005 ◽  
Vol 71 (6) ◽  
pp. 508-511 ◽  
Author(s):  
Pradeep S. Mohan ◽  
Ravi A. Chokshi ◽  
Robert L. Moser ◽  
Sadeq A. Razvi
Keyword(s):  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Anterior Neck ◽  
Duct Cyst ◽  
Oral Flora ◽  
Thyroglossal Duct ◽  
Common Presentation ◽  
Sistrunk Procedure ◽  
Thyroglossal Duct Cysts ◽  
The Common

Thyroglossal duct cysts (TDC) are one of the most common pediatric midline neck lesions. Although they are present from birth, they usually become symptomatic in early childhood as a mass or draining sinus. Infection and abscess formation are frequent complications due to a communication between the cyst and the mouth with subsequent contamination by oral flora. We present a case of a 37-year-old male who presented with a newly symptomatic thyroglossal duct cyst. The patient presented to the infirmary with pain in the anterior neck particularly with swallowing. A midline mass was visible and palpable on examination. Subsequent neck exploration revealed a thyroglossal duct cyst filled with purulent material. Although uncommon in adults, thyroglossal duct cysts should be a part of the surgeon's differential diagnosis when presented with a neck mass. One should remember that an infected neck mass is the common presentation of thyroglossal duct cysts in adults, and the appropriate diagnostic studies need to be performed in order to best determine the diagnosis. Once diagnosed, the TDC is best treated using the Sistrunk procedure to limit recurrence.

Is detection of braf mutation enough to decide prophylactic central neck dissection (CND)?

2019 ◽  
Author(s):  
Miguel Paja ◽  
Amaia Exposito ◽  
Cristina Arrizabalaga ◽  
Adela L Martinez ◽  
Andoni Monzon ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Braf Mutation ◽  
Central Neck Dissection ◽  
Central Neck ◽  
Prophylactic Central Neck Dissection
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