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 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.

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 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.

scholarly journals Infected Thyroglossal Duct Cyst Involving Submandibular Region: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Rahul A. Gandhi ◽  
Rahul Bhowate ◽  
Shirish Degweker ◽  
Arvind Bhake
Keyword(s):  
Hyoid Bone ◽  
Cystic Lesion ◽  
Inflammatory Cells ◽  
Needle Aspiration ◽  
Thyroglossal Duct Cyst ◽  
Histopathological Analysis ◽  
Thyroglossal Cyst ◽  
Duct Cyst ◽  
Submandibular Region ◽  
Thyroglossal Duct

Thyroglossal duct cyst presents most frequently in the midline of the neck, either at or just below the level of the hyoid bone. They generally manifest as painless neck swelling, and they move on protrusion of tongue and during swallowing. A case of thyroglossal cyst was reported in the left submandibular region in a 14-year-old girl, above the level of hyoid bone; ultrasound examination favored a cystic lesion which moved in a vertical fashion on swallowing whereas fine needle aspiration cytology report was suggestive of simple cystic lesion of thyroglossal cyst. No lymphoid or malignant cells were present. The cyst was excised completely by surgical procedure under general anesthesia. Histopathological analysis revealed thyroglossal cyst showing columnar and flattened epithelium of cyst with focal aggregate of chronic inflammatory cells supported by fibrocollagenous cyst wall. The clinical, ultrasound, and histopathological findings suggested that the lesion was an infected thyroglossal cyst. There was no evidence of recurrence 6 months after surgery.

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

2013 ◽  
Vol 5 (3) ◽  
pp. 148-150 ◽  
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.

scholarly journals Triple thyroglossal duct cysts in an adult: a rare case report and review of literature

2020 ◽  
Vol 18 (2) ◽  
pp. 121-126
Author(s):  
Abhishek Bhardwaj ◽  
◽  
Kartikesh Gupta ◽  
Manu Malhotra ◽  
Madhu Priya ◽  
...  
Keyword(s):  
English Literature ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Thyroglossal Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Rare Case Report ◽  
Thyroglossal Duct Cysts ◽  
Atypical Presentations ◽  
Work Up

Introduction. Thyroglossal duct cyst (TDC) is the most common cause of congenital neck mass. These can present anywhere from foramen caecum to mediastinum. Usually presents as a solitary cyst, the double thyroglossal cyst is very rare and a triple thyroglossal cyst has never been reported. Aim. Herein, we report an atypical case of triple thyroglossal cyst, at levels of hyoid, thyrohyoid membrane and thyroid isthmus managed surgically without any complication. Description of the case. We are presenting case of a 48-year-old female who presented to us with the complaint of anterior neck swelling since birth. On work up it was diagnosed as a case of the thyroglossal duct cyst and was intraoperatively found to have 3 distinct cystic swellings connected to a common stalk lying beneath the hyoid. It was successfully treated by modified Sistrunk’s procedure. There was no evidence of recurrence on follow up for 6 months. Considering atypical presentations, there are 9 cases reported with the double thyroglossal duct cyst, TDC within the thyroid gland and sublingual TDC. Such presentations make the diagnosis more challenging, leading to improper treatment. Conclusion. We are presenting this case as there is no case reported in English literature with a triple thyroglossal duct cyst. An awareness that thyroglossal cyst can present as multiple cysts is important for clinician in order to perform correct surgical management and to avoid the most feared complication of recurrence.

scholarly journals Locally Advanced Thyroglossal Duct Cyst Carcinoma Presenting as a Neck Mass

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Niranjan Tachamo ◽  
Brian Le ◽  
Jeffrey Driben ◽  
Vasudev Magaji
Keyword(s):  
Radioactive Iodine ◽  
Locally Advanced ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Thyroglossal Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Lymph Node Mapping ◽  
Thyroglossal Duct Cysts ◽  
Iodine Treatment

Thyroglossal duct cyst carcinoma is rare and occurs in just 1% of cases with thyroglossal duct cysts. It is not always possible to distinguish a thyroglossal cyst harboring malignancy from its benign counterparts unless biopsied, thus posing the dilemma. Currently there is no clear consensus on the optimal management of thyroglossal duct cyst carcinoma. Here we present the case of a 69-year-old female who presented with a midline neck mass and dysphagia and was found to have papillary thyroid cancer in the biopsy specimen of the neck mass. She underwent excision of the mass and the thyroglossal duct cyst along with total thyroidectomy; however, the thyroidectomy specimen showed no malignancy. Her lymph node mapping was negative and she is awaiting radioactive iodine treatment.

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.

Thyroglossal duct cyst in hyoid bone: unusual location

2003 ◽  
Vol 117 (8) ◽  
pp. 656-657 ◽  
Author(s):  
Abdullah Tas ◽  
Ahmet Rifat Karasalihoglu ◽  
Recep Yagiz ◽  
Latife Doğanay ◽  
Selis Guven
Keyword(s):  
Computed Tomography ◽  
Surgical Procedure ◽  
Hyoid Bone ◽  
Thyroglossal Duct Cyst ◽  
Thyroglossal Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Unusual Location

An atypically sited thyroglossal cyst in a 69-year-old woman is described in this report. The cysts may be located in the intralingual, suprahyoid, thyrohyoid or suprasternal region. The intrahyoid location is rare. The diagnosis was confirmed by computed tomography (CT). Surgical procedure should be indicated in intrahyoid thyroglossal duct cyst cases.

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