scholarly journals Modified Sistrunk's Operation

1970 ◽  
Vol 1 (1) ◽  
pp. 34-35
Author(s):  
DK Baskota

Key words: thyroglossal cyst/fistula; Sistrunk's operation; modified Sistrunk operation; body of hyoidDOI: 10.3126/njenthns.v1i1.4738 Nepalese J ENT Head Neck Surg Vol.1 No.1 (2010) p.34-35

2013 ◽  
Vol 4 (2) ◽  
pp. 92-94
Author(s):  
Manas Ranjan Rout ◽  
Deeganta Mohanty ◽  
Kamalesh Bobba ◽  
Chakradhar Meta ◽  
Susritha Karri

ABSTRACT Thyroglossal cyst is a congenital condition of the neck where the painless swelling is found in the midline of the neck in between the foramen cecum of tongue base and sternal notch. Condition is common in children. Thyroglossal fistula is either secondary to infection or drainage of a misdiagnosed abscess. Here we are presenting a case of thyroglossal fistula with its opening over the chest and a cord extending from the hyoid bone to the chest causing restriction of the neck movement. Thyroglossal fistula opening in the chest, i.e. over the sternum is very rare and not been reported in any literatures. Treatment of this type of thyroglossal fistula is same as other types, i.e. Sistrunk's operation, where tract along with part of the hyoid bone is to be removed to prevent recurrence. We are reporting this case for its rare occurrence. How to cite this article Rout MR, Mohanty D, Bobba K, Meta C, Karri S. Presternal Thyroglossal Fistula: A Rare Case Report. Int J Head Neck Surg 2013;4(2):92-94.


2020 ◽  
Vol 4 (3) ◽  
pp. 786-790
Author(s):  
Sriti Manandhar ◽  
Dillu Ram Kandel ◽  
Niranjan Panthi

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.


2020 ◽  
Vol 23 (2) ◽  
pp. 171-179
Author(s):  
Md Zahidul Islam ◽  
Md Abdur Rahman ◽  
Md Sirajul Islam Mahfuz

Purpose: To analyse the prevalence, distribution and presentation of different congenital head-neck lesions with their age, sex, site and side predilection. Methods: 50 patients of head-neck congenital swelling was selected from january/2013 upto december/2013 in the OPD of otorhino-laryngology, head and neck deptt. of Dhaka medical college hospital under a specific prospective study protocol. Results: The most frequent swelling was thyroglossal cyst(42%), followed by branchial arch anomalies (18%),dermoid cyst(14%),pre-auricular sinus(14%),lymphangioma(8%) and haemangioma(4%).Amongst the cervical swellings the sequential preponderence was thyroglossal cyst(52%),branchial arch anomalies(23%),dermoid cyst(13%), lymphangioma(10%) and haemangioma (2%).The majority of branchial arch anomalies(100%) were of second arch. The majority of patients were of first(52%) and second(30%) decade and the male to female ratio for thyroglossal cysts was 1:1.1.The majority of lesions were painless swelling and all were surgically excised. Conclusion: The overall frequency and age-sex distribution of congenital head-neck swellings as well as site, nature and type specific predominance of some of them in OPD of Dhaka medical college hospital are almost similar to international findings. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 171-179


1970 ◽  
Vol 1 (1) ◽  
pp. 12-13
Author(s):  
Toran KC
Keyword(s):  

Key words: sinusitis; antral wash out; conservative treatmentDOI: 10.3126/njenthns.v1i1.4730 Nepalese J ENT Head Neck Surg Vol.1 No.1 (2010) p.12-13


1970 ◽  
Vol 1 (1) ◽  
pp. 21-23
Author(s):  
K Acharya ◽  
B Pradhan ◽  
NM Thapa ◽  
S Khanal

Key words: Sphenochoanal; choanal polyp; antrochoanalDOI: 10.3126/njenthns.v1i1.4734 Nepalese J ENT Head Neck Surg Vol.1 No.1 (2010) p.21-23


1970 ◽  
Vol 1 (2) ◽  
pp. 6-8 ◽  
Author(s):  
DK Mishra ◽  
R Bhatta ◽  
LR Verma

Key words: Chronic sinusitis; sinus surgery; outcomeDOI: 10.3126/njenthns.v1i2.4754 Nepalese J ENT Head Neck Surg Vol.1 No.2 (2010) p.6-8


2013 ◽  
Vol 5 (3) ◽  
pp. 148-150 ◽  
Author(s):  
Neena Sood ◽  
Manish Munjal ◽  
Bhawna Garg ◽  
Vikram Bhardwaj

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.


Author(s):  
A. G. Naveen Kumar

<p class="abstract"><strong>Background:</strong> Thyroglossal cyst is a cystic swelling arising from embryological remnant of thyroglossal cyst. Cyst is typically located in the midline of the anterior neck and moves upward with tongue protrusion. The gold standard management for thyroglossal cyst is the Sistrunk procedure.</p><p class="abstract"><strong>Methods:</strong> Total of 32 patients of all ages and both sexes operated at Sapthagiri Institute of Medical Science and Research Centre, Bangalore during the study duration were included a detailed history and thorough physical examination was done to arrive clinical diagnosis. Ultrasound studies and FNAC were done in all cases to confirm the clinical diagnosis of thyroglossal cyst. Management was mainly surgical and Sistrunk operation was done in all cases.  </p><p class="abstract"><strong>Results:</strong> Thirty two patients of with the diagnosis of thyroglossal cyst were managed from 2011 to 2018 in the department of ENT, Sapthagiri Institute of Medical Science, Bangalore, 20 (62.5%) were females and 12 (37.5%) were males age ranged from 5 to 40 years; mean age was 16.5 years.</p><p class="abstract"><strong>Conclusions:</strong> Thyroglossal cyst presents most commonly in paediatric age as cystic painless midline neck swelling. Diagnosis is made on clinical examination complimented with ultrasound and FNAC. Sistrunk operation is the treatment of choice to prevent recurrence and histopathological examination of the surgical specimen is must to rule out malignant transformation in the cyst.</p>


2020 ◽  
Vol VOLUME 8 (ONE) ◽  
pp. 43-45
Author(s):  
N Madhav

Trichilemmal cyst, also known as Pilar cyst, is a rare, slow growing, benign, adnexal skin tumour usually arising in scalp followed by other parts in head neck region. It contains keratin and its breakdown products. We present a case of young male patient who presented with gradually progressive painless s w e l l i n g i n t h e n e c k a n t e r i o r l y a n d clinicoradiologicaly masquerading as classical thyroglossal cyst. The mass was excised and the nal histopathological report came out as Trichilemmal cyst, thus giving a diagnostic surprise. Keywords: Trichilemmal cyst, Pilar cyst, Thyroglossal cyst


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