Thyroglossal Duct Cyst: The New York Eye and Ear Infirmary Experience and a Literature Review

1998 ◽  
Vol 77 (8) ◽  
pp. 642-651 ◽  
Author(s):  
Gary D. Josephson ◽  
William R. Spencer ◽  
Jordan S. Josephson
Keyword(s):  
New York ◽  
Adult Population ◽  
Imaging Study ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Second Procedure ◽  
Sistrunk Operation ◽  
Lost To Follow Up

Thyroglossal duct cysts often present in childhood but can also afflict the adult population. In 1920, Sistrunk described surgical management and advocated the removal of the central portion of the hyoid bone, following the cyst tract to the base of the tongue. This surgical technique has not changed since its description 60 years ago. In this paper, a retrospective review of 70 thyroglossal duct cyst excisions performed at the New York Eye and Ear Infirmary from 1988 through 1996 is presented. The patient population consisted of 43 females (61 %) and 27 males (39%). The average age at presentation was 21.5 years, with a range of 18 months to 64 years. The most frequent presenting symptom was a painless midline neck mass. Computed tomography (CT) was the most frequent imaging study performed. Sixty-four patients underwent a Sistrunk procedure while five patients had excision alone. One patient was diagnosed but lost to follow-up. All five patients who underwent simple cystectomy required a second procedure. One patient who underwent the Sistrunk operation required revision. Nine patients had postoperative complications, with recurrence being the most common. We present our experience over an eight-year period.

scholarly journals Presentation of Thyroglossal Cyst in Children

2016 ◽  
Vol 5 (2) ◽  
pp. 45-53
Author(s):  
Shaikh Nurul Fattah Rumi ◽  
Shaikh Muniruddin Ahmad ◽  
Shahnaz Rahman ◽  
Abdul Hanif Tablu
Keyword(s):  
Hyoid Bone ◽  
Neck Surgery ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Thyroglossal Cyst ◽  
College Hospital ◽  
Duct Cyst ◽  
Female Ratio ◽  
Thyroglossal Duct ◽  
Sistrunk Operation

Background: Thyroglossal duct cyst a developmental anomaly present as a congenital cervical masses of neck in children.Objectives: To observe its deferent presentation and evaluate among the children.Materials and methods: This observational cross section study conducted among patients of eighteen years of age present with thyroglossal duct cyst between 2007 to 2012 in the department of ENT and Head- Neck surgery, Dhaka Medical College Hospital, Dhaka. All patients were operated by Sistrunk operation under (excision of total cyst and removal median portion hyoid bone) under general anesthesia. All specimens were histo-pathologically confirmed.Results: Among 24 children with thyroglossal cyst, 15 boys and 9 girls with male female ratio 1.67:1, age ranged from 4 years to 18 years (mean 9.46 std ±4.27). Male (mean 7.53±4.01years) child are younger than female (mean 12.67±2.39 years) child. 66.67% male children were below 10 years of age and 88.89% female children were over 10 years of age. According to the presentation site 17(70.83%) cases were juxtra hyoid, 4(16.67%) were suprahyoid and 3 (12.50%) were infrahyoid. 23 (95.83%) were present as midline swelling, only 1(4.17%) was present as left lateral infrahyoid swelling. 4(16.67%) patient were attended as thyroglossal fistulae with history of intervention. 4(16.67%) patient were developed recurrence followed by surgical resection within two years.Conclusion: Thyroglossal duct cyst present as an asymptomatic midline neck mass around the hyoid region in children. Complete resection along with median portion hyoid bone prevents recurrence.J. Paediatr. Surg. Bangladesh 5(2): 45-53, 2014 (July)

scholarly journals An Incidental Primary Papillary Carcinoma Arising in a Thyroglossal Duct Cyst: Report of a Rare Finding

2016 ◽  
Vol 8 (01) ◽  
pp. 062-064 ◽  
Author(s):  
Mohammad Jaseem Hassan ◽  
Safia Rana ◽  
Sabina Khan ◽  
Zeeba Shamim Jairajpuri ◽  
Seema Monga ◽  
...  
Keyword(s):  
Papillary Carcinoma ◽  
Incidental Finding ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Rare Finding ◽  
Papillary Carcinoma Thyroid ◽  
Thyroglossal Duct Cysts ◽  
Sistrunk Operation

ABSTRACTThe thyroglossal duct cysts (TGDCs) are the most common congenital anomaly of the thyroid, usually manifested as painless midline neck mass. Malignancy is very rare and is reported in around 1% of cases as an incidental finding after histopathological evaluation of resected cyst. Papillary carcinoma is the most common carcinoma reported in TGDC. Here, we report a case of 17-year-old-female, who presented with a gradually increasing midline neck mass which moves with swallowing. On imaging a diagnosis of infected TGDC was made. The Sistrunk operation was done and a diagnosis of primary papillary carcinoma arising in a TGDC was rendered histopathologically. The contemporary appearance of papillary carcinoma thyroid was reported in about 20% cases of TGDC carcinoma, thus it is essential to differentiate primary papillary carcinoma arising in a TGDC from those of metastatic papillary carcinoma thyroid by strict diagnostic criteria.

scholarly journals Thyroglossal Duct Cyst Papillary Carcinoma With Airway Compromise

2021 ◽  
pp. 014556132110220
Author(s):  
Po-Kai Huang ◽  
Li-Chun Hsieh ◽  
Yi-Shing Leu
Keyword(s):  
Symptom Relief ◽  
Thyroid Tissue ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Ectopic Thyroid ◽  
Airway Compromise ◽  
Duct Cyst ◽  
Complete Excision ◽  
Thyroglossal Duct ◽  
Ectopic Thyroid Tissue

Thyroglossal duct cysts are typically benign and usually asymptomatic. Malignant transformation is uncommon. Intralaryngeal extension is rare and results in dysphonia or dyspnea. There is no literature nowadays reporting the thyroglossal duct cyst carcinoma combining the clinical features of intralaryngeal extension. The authors present a case of progressive hoarseness and midline neck mass for 2 years. The laryngoscope and computed tomography revealed a 6-cm thyroglossal duct cyst containing ectopic thyroid tissue with intralaryngeal extension and causing airway obstruction. Complete excision with Sistrunk operation revealed papillary thyroid carcinoma. The patient resumed normal phonation after the surgery. There was no evidence of tumor recurrence and no hoarseness or dyspnea at 6 months follow up. This is the first reported case of a huge thyroglossal duct cyst carcinoma with intralaryngeal extension causing airway compromise. Complete excision of tumor is essential and vital to the symptom relief. A thyroglossal duct cyst carcinoma with endolaryngeal involvement should be considered in the differential diagnosis when the case has a massive midline neck mass with ectopic thyroid tissue and develops dyspnea or hoarseness concurrently.

scholarly journals RECURRENCE OF THYROGLOSSAL DUCT CYST AFTER SISTRUNK OPERATION.

2020 ◽  
Vol 4 (3) ◽  
pp. 786-790
Author(s):  
Sriti Manandhar ◽  
Dillu Ram Kandel ◽  
Niranjan Panthi
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Retrospective Chart Review ◽  
Wound Dehiscence ◽  
Thyroglossal Duct Cyst ◽  
Thyroglossal Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Male Predominance ◽  
Sistrunk Operation

Introduction: Thyroglossal duct cyst (TGDC) is the most common form of congenital anomaly in the head and neck region with prevalence of 7%.  Embryologically the thyroglossal duct tract gets atrophied by fifth to tenth week of gestation. If it does not atrophied it results in TGDC and operation is the treatment of choice. However, in spite of standard surgical treatment there is recurrence of cyst. Eight percent of thyroglossal duct cyst may reoccur after adequate surgical excision. Objectives: To identify the recurrence of thyroglossal duct cyst after standard sistrunk’s operation. Methodology:  A retrospective chart review performed in  all the patients who were diagnosed with thyroglossal duct cyst and were managed by Sistrunk operation in B.P Koirala Institute of Health sciences, department of ORL and Head and Neck surgery from 2013 January1to 2015 December 31.The study was conducted on 37 patients’ age ranging from 4years to 68years. All the patients who had undergone Sistrunk’s operation and histopathologically diagnosed with thyroglossal duct cyst were analysed through hospital records. All records were reviewed for age, sex, location of cyst in neck and with relation to hyoid bone, postoperative complication and recurrence. Results: There was male predominance 67.56% and female only 32.43%.The most of the patients were between 1-15 yrs age group (48.64%).  Thirty two patients presented with   infrahyoid thyroglossal cyst and five patients with suprahyoid thyroglossal cyst. The post operative complications were in the form of wound dehiscence, haematoma, seroma, infection and there were two cases with recurrence out of thirty seven patients after Sistrunk operation in the form of persistence discharging sinus. Conclusion: A Sistrunk’s operation is effective in treating primary thyroglossal duct cyst with   a comparably low recurrence rate. The intraoperative rupture of cyst is the most important risk factors predicting postoperative recurrence of thyroglossal duct cyst. Meticulous dissection of the thyroglossal duct cyst is very essential  for the better surgical outcome.

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 Sistrunk Procedure on Malignant Thyroglossal Duct Cyst

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Diani Kartini ◽  
Sonar S. Panigoro ◽  
Agnes S. Harahap
Keyword(s):  
Rare Event ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Cystic Mass ◽  
Thyroglossal Duct Cyst ◽  
Duct Cyst ◽  
Microscopic Appearance ◽  
Thyroglossal Duct ◽  
Normal Limits ◽  
Sistrunk Procedure

A thyroglossal duct cyst is a lesion that occurs as a result from failure of the thyroglossal duct to obliterate during fetal development. Malignant progression is a rare event that might occur in less than 1% of all cases. Because of its rarity, there are conflicting opinions regarding the management of the case. In the present study, a 46-year-old male presented with a painless neck mass that had increased in size over the last 6 months. There was no difficulty in swallowing and breathing, change in voice, significant weight loss, or any signs of hyperthyroidism. Laboratory workup showed that results were within normal limits. Thyroid gland ultrasonography and cervical contrast CT scan revealed a complex cystic mass that pointed towards a thyroglossal duct cyst. We performed Sistrunk procedure. Postoperative pathology examination revealed microscopic appearance of the thyroglossal duct cyst with a classic follicular variant of papillary thyroid carcinoma. Our latest follow-up showed no signs of tumor recurrence or any complications following surgery on locoregional status. As a fine needle aspiration biopsy cannot ensure a precise result in all of cases, it is essential to perform a solid physical examination and thorough supporting examination in deciding the precise management for the patient.

scholarly journals Floor of mouth thyroglossal duct cyst: a rare embryologic course

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
John Kerr ◽  
Weston L Niermeyer ◽  
Peter B Baker ◽  
Tendy Chiang
Keyword(s):  
Oral Cavity ◽  
Hyoid Bone ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Floor Of Mouth ◽  
Atypical Presentations

Abstract A thyroglossal duct cyst (TGDC) is a common pediatric midline neck mass. Most TGDCs occur in the region of the hyoid bone but have been found less commonly in areas from the oral cavity to the sternum. We present the first reported case of a multifocal floor of mouth (FOM)/cervical TGDC representing an atypical embryonic course. We also review atypical presentations of TGDC and provide a summary of cases involving FOM and multifocal cysts.

Thyroglossal Duct Cyst Occupying Posterior Hyoid Space with Endolaryngeal Extension Presenting After Neck Trauma

2020 ◽  
Vol 129 (6) ◽  
pp. 628-632
Author(s):  
Samuel Bosco ◽  
Jason E. Cohn ◽  
Marissa Evarts ◽  
Paul Papajohn ◽  
Raymond Lesser
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Traumatic Event ◽  
Surgical Excision ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Educational Objective ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Thyroglossal Duct Cysts

Objective: Thyroglossal duct cysts are the most common congenital neck mass. They typically present as a painless midline neck mass in a child or young adult, but may also present later in adulthood when the cyst becomes symptomatic. Thyroglossal duct cysts are most commonly located inferior to the hyoid bone in close relation with the thyrohyoid membrane. Very rarely, they may extend intralaryngeal, occupy the posterior hyoid space, and present with dysphonia and/or dysphagia. To our knowledge, this is the 24th reported case in the literature. Methods: Case report with a comprehensive review of the literature. Results: The patient was a 43-year-old male experiencing dysphonia and dysphagia following a motor vehicle accident. He was subsequently found to have a large thyroglossal duct cyst with endolaryngeal extension that was previously asymptomatic and undiagnosed. He underwent successful surgical excision which resulted in resolution of symptoms. Conclusion: This is the first reported case of a thyroglossal duct cyst in the posterior hyoid space with endolaryngeal extension being diagnosed following a traumatic event. This case illustrates the need to consider thyroglossal duct cyst in the differential diagnosis when working up a post-traumatic intralaryngeal neck mass. A secondary educational objective in this case is to be diligent to consider and rule out laryngeal fracture in the case of a neck mass presenting after trauma as they can easily be missed and present with many overlapping symptoms.

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