Thyroglossal duct cyst variation in presentation: our experience of 3 years

Background: The prime objective of the present study was, to learn incidence of thyroglossal duct cyst in different age and sex groups and variation in its presentation.Methods: The present retrospective study was carried out in department of otorhinolaryngology and head and neck surgery, GMC Jammu from June 2017 to May 2020. In this retrospective study clinical records, medical records and histopathological records were thoroughly reviewed and studied. 20 patients diagnosed as thyroglossal duct cyst were included in the present study.Results: Out of 20 patients, 14 were paediatric patients and 6 were adults. 15 patients presented with cystic swelling while 5 patients presented with fistula. Out of 20 patients, 5 patients had suprahyoid presentation, 4 patients had cyst at the level of hyoid and 11 had infrahyoid presentation. 16 patients underwent sistrunk operation while 4 patients underwent simple excision. Out of 4 patients who had undergone simple excision, 2 patients developed recurrence.Conclusions: In the present study it is concluded that paediatric age group presents most commonly with thyroglossal cyst as a midline, painless swelling. The most common site observed is infrahyoid region. After proper investigations and diagnosis, thyroglossal duct cyst should be excised preferably by sistrunk operation.

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Presentation of Thyroglossal Cyst in Children

Journal of Paediatric Surgeons of Bangladesh ◽

10.3329/jpsb.v5i2.27724 ◽

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)

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RECURRENCE OF THYROGLOSSAL DUCT CYST AFTER SISTRUNK OPERATION.

Birat Journal of Health Sciences ◽

10.3126/bjhs.v4i3.27014 ◽

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.

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

Ear Nose & Throat Journal ◽

10.1177/014556139807700813 ◽

1998 ◽

Vol 77 (8) ◽

pp. 642-651 ◽

Cited By ~ 36

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.

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Results of Modified Sistrunk Operation in thyroglossal duct cyst: A review of 81 cases

Journal of the Korean Association of Pediatric Surgeons ◽

10.13029/jkaps.2001.7.2.137 ◽

2001 ◽

Vol 7 (2) ◽

pp. 137

Author(s):

Kyeong Geun Lee ◽

Poong Man Jung

Keyword(s):

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Sistrunk Operation

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Carcinoma in a Thyroglossal Duct Cyst

Nepalese Journal of ENT Head and Neck Surgery ◽

10.3126/njenthns.v3i1.8186 ◽

2013 ◽

Vol 3 (1) ◽

pp. 24-26

Author(s):

Y Neupane ◽

Dhundi Raj Paudel

Keyword(s):

Head And Neck ◽

Neck Surgery ◽

Thyroglossal Duct Cyst ◽

Head And Neck Surgery ◽

Duct Cyst ◽

Thyroglossal Duct

Nepalese Journal of ENT Head and Neck Surgery, Vol. 3 Issue 1 (Jan-June 2012) Page 24-26 DOI: http://dx.doi.org/10.3126/njenthns.v3i1.8186

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Papillary Carcinoma of the Thyroglossal Duct Cyst: A Case Report and Review of Literature

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1131 ◽

2013 ◽

Vol 5 (3) ◽

pp. 148-150 ◽

Cited By ~ 1

Author(s):

Neena Sood ◽

Manish Munjal ◽

Bhawna Garg ◽

Vikram Bhardwaj

Keyword(s):

Case Report ◽

Total Thyroidectomy ◽

Papillary Carcinoma ◽

Hormone Replacement ◽

Thyroglossal Duct Cyst ◽

Review Of Literature ◽

Thyroglossal Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Sistrunk Operation

ABSTRACT Papillary carcinoma arising in thyroglossal cyst is rare and is usually detected on postoperative histopathology after routine Sistrunk operation. Further management is a matter of debate and the choice lies between regular follow-up after Sistrunk operation or total thyroidectomy with or without radioiodine ablation and thyroxine suppression therapy. Here, we present a case of papillary carcinoma of thyroglossal duct cyst in a 26- year-old lady. Papillary carcinoma was detected after a routine Sistrunk operation was done for a seemingly innocuous thyroglossal cyst. A total thyroidectomy was carried 1 week later followed by hormone replacement therapy to suppress serum thyroid-stimulating hormone levels. How to cite this article Munjal M, Garg B, Sood N, Bhardwaj V. Papillary Carcinoma of the Thyroglossal Duct Cyst: A Case Report and Review of Literature. Int J Otorhinolaryngol Clin 2013;5(3):148-150.

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Thyroglossal duct cyst: myriad presentations

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20192715 ◽

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

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.

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