scholarly journals Insidensi Kista Duktus Tiroglosus di Bagian Bedah RSUP Prof. Dr. R. D. Kandou Manado Periode Januari 2014 - Desember 2016

e-CliniC ◽  
2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Meidina Kinontoa ◽  
Nico Lumintang ◽  
Andreissanto C. Lengkong

Abstract: Thyroglossal duct cyst is the most common asymptomatic congenital mass found in the neck region. It is more commonly occurs in pediatric patients but not uncommon in adult patients. According to epidemiologic data, there is no difference in predilection among sexes. Diagnosis of thyroglossal duct cyst is ascertained by anamnesis, physical examination, and ancillary examination. Treatment of thyroglossal duct cyst is surgery. This study was aimed to establish the incidence of thyroglossal duct cysts at the Surgery Department of Prof. Dr. R. D. Kandou Hospital Manado in the period of January 2014 - December 2016 based on age, gender, surgical treatment, as well as the location of thyroglossal duct cysts. This was a descriptive retrospective study using all thyroglossal duct cyst medical records at the Surgery Department of Prof. Dr. R. D. Kandou Hospital Manado in the period of January 2014-December 2016. The results showed that the highest incidence of thyroglossal duct cyst was in 2014 (37%), and in the age group of 6-11 years old. Male patients were more common than females. Meanwhile, the most common locations of this cyst were suprahyoid and subhyoid (25%) and the most common surgical procedure used was modified Sistrunk (88%). Conclusion: Thyroglossal duct cyst was more common in age group of 6-11 years, males, suprahyoid and subhyoid locations, and treated with modified Sistrunk surgeryKeywords: thyroglossal duct cyst Abstrak: Kista duktus tiroglosus merupakan massa kongenital asimtomatik yang paling sering ditemukan di daerah leher. Kasus ini lebih sering terjadi pada anak tetapi juga tidak jarang ditemukan pada orang dewasa. Secara epidemiologi tidak ada perbedaan predileksi jenis kelamin antara laki-laki dan perempuan. Diagnosis kista duktus tiroglosus ditegakkan berdasarkan anamnesis, pemeriksaan fisik dan pemeriksaan penunjang. Penatalaksanaan dari kista duktus tiroglosus adalah tindakan pembedahan. Penelitian ini bertujuan unuk mengetahui insidensi kista duktus tiroglosus di Bagian Bedah RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2014-Desember 2016, berdasarkan tahun, usia, jenis kelamin, tindakan pembedahan, serta letak kista duktus tiroglosus. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan semua data rekam medik pasien kista duktus tiroglosus di Bagian Bedah RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2014-Desember 2016. Hasil penelitian menunjukkan bahwa insidensi kista duktus tiroglosus selama periode Januari 2014-Desember 2016 tertinggi pada tahun 2014 (37%) dan pada kelompok usia 6-11 tahun (37%). Jumlah pasien laki-laki ditemukan lebih banyak daripada perempuan. Letak kista tersering ditemukan di suprahioid dan subhioid (25%) dan tindakan pembedahan yang tersering dilakukan ialah modifikasi Sistrunk (88%). Simpulan: Kista tiroglosus paling sering ditemukan pada kelompok usia 6-11 tahun, jenis kelamin laki-laki, dengan letak kista suprahiod dan subhiod, serta tindakan pembedahan modifikasi Sistrunk.Kata kunci: kista duktus tiroglosus

2014 ◽  
Vol 6 (1) ◽  
pp. 129-131
Author(s):  
Mukta Rawte ◽  
Nabaneet Majumder ◽  
Virendra Dafle ◽  
Pramod Purohit

Thyroglossal duct cysts are most common congenital anomalies in thyroid development and are usually presented with midline neck swelling. The co-existence of carcinoma in thyroglossal duct cyst’s is extremely rare. We, herein present a case of primary papillary carcinoma arising from thyroglossal duct cyst in a 45 year old woman. DOI: http://dx.doi.org/10.3126/ajms.v6i1.9305 Asian Journal of Medical Sciences Vol.6(1) 2015 129-131


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.


2014 ◽  
Vol 128 (8) ◽  
pp. 738-741 ◽  
Author(s):  
F Safiruddin ◽  
D L Mourits ◽  
N de Vries

AbstractBackground:Thyroglossal duct cysts and obstructive sleep apnoea are commonly occurring medical conditions which appear to present independently in patients. However, we noted three cases where the thyroglossal duct cysts influenced the development and/or therapy of obstructive sleep apnoea. In this article, these three case studies are presented, as is a study of the association between thyroglossal duct cysts and obstructive sleep apnoea, preceded by a literature review.Case reports:The patient in the first case study underwent hyoidthyroidpexia for obstructive sleep apnoea, which revealed an unexpected thyroglossal duct cyst. The second patient had previously undergone Sistrunk surgery for the removal of a thyroglossal duct cyst and subsequently presented with obstructive sleep apnoea. Finally, the third patient, who had previously undergone Sistrunk surgery, presented with obstructive sleep apnoea and underwent alternative surgery as hyoidthyroidpexia was no longer possible.Conclusion:To our knowledge, the association between thyroglossal duct cysts and obstructive sleep apnoea has not been addressed previously. The results indicate that the relationship is much stronger than previously thought, and further research is required to investigate the extent of the association and possible causal relations.


Thyroid ◽  
2012 ◽  
pp. 120724095458008
Author(s):  
Giacomo Sturniolo ◽  
Mariacarla Moleti ◽  
Maria Antonia Violi ◽  
Beatrice Di Bella ◽  
Silvia Presti ◽  
...  

2020 ◽  
Vol 13 (11) ◽  
pp. e236515
Author(s):  
Jordan Whitney Rawl ◽  
Nicholas Armando Rossi ◽  
Matthew G Yantis ◽  
Wasyl Szeremeta

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.


2011 ◽  
Vol 126 (2) ◽  
pp. 217-220 ◽  
Author(s):  
J Madana ◽  
R Kalaiarasi ◽  
D Yolmo ◽  
S Gopalakrishnan

AbstractObjective:We report an extremely rare case of the simultaneous occurrence of a thyroglossal duct cyst and a lingual thyroid in the absence of an orthotopic thyroid gland, in a seven-year-old girl from South India.Method:Case report and a review of the English language literature on the subject.Results:The patient presented with a mass on the tongue that had been present for three years, and an anterior neck swelling that had been present for two years. Examination revealed a midline, pinkish, firm mass present on the posterior one-third of the tongue. The neck showed a midline cystic swelling in the infrahyoid position. Radiological imaging confirmed the clinical findings, revealing the absence of her thyroid gland in the normal location. Sistrunk's procedure was performed leaving behind a lingual thyroid. At 13-month follow up, the patient was euthyroid with no recurrence.Conclusion:To our knowledge the association of a lingual thyroid and a thyroglossal cyst has only been reported once in the literature. The presence of a lingual thyroid in the absence of a normally located thyroid gland or functioning thyroid tissue along the thyroglossal tract, confirmed by radionuclide and computed tomography imaging, may indicate the failure of the normal descent of the thyroid gland during embryonic development. This probable absence of the descent of the thyroid raises questions regarding the origin of thyroglossal duct cysts.


2020 ◽  
Vol 129 (6) ◽  
pp. 628-632
Author(s):  
Samuel Bosco ◽  
Jason E. Cohn ◽  
Marissa Evarts ◽  
Paul Papajohn ◽  
Raymond Lesser

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.


1996 ◽  
Vol 75 (8) ◽  
pp. 530-534 ◽  
Author(s):  
Eugene G. Brown ◽  
Marcus S. Albernaz ◽  
Mark T. Emery

Thyroglossal duct cysts, though not uncommon, rarely present with evidence of laryngeal compromise. The case presented is one of the very few cases with documented laryngeal invasion reported in the English language. Of clinical significance is the patient's presentation with laryngeal symptoms of choking and dysphonia in the presence of a small anterior cervical mass. While the thyroglossal duct cyst usually presents as an asymptomatic anterior neck mass, this case illustrates the importance of considering a thyroglossal duct cyst in any patient with airway compromise in the absence of a neck mass.


2021 ◽  
Vol 75 (4) ◽  
pp. 1-4
Author(s):  
Nobuo Ohta ◽  
Shigeru Fukase ◽  
Miho Nakazumi ◽  
Teruyuki Sato ◽  
Takahiro Suzuki

<b>Introduction:</b> Recurrent thyroglossal duct cyst after surgery is not a rare condition and first-line treatment has not been established yet.<br/><br/> <b>Aim:</b> Evaluation of outcomes and complications of OK-432 treatment in patients with recurrent thyroglossal duct cyst after surgery. <br/><br/> <b>Material and methods:</b> This study is designed as a case series with planned data collection at Tohoku Medical and Pharmaceutical University and Fukase Clinic. Five patients with recurrent thyroglossal duct cyst after surgery received this therapy between January 2014 and February 2020 on an outpatient basis, without hospitalization. OK-432 solution was injected into the lesion using an 18- or 27-gauge needle, depending on the location and size of the lesion, as well as on possible complications.<br/> <br/> <b>Results:</b> Lesions showed marked reduction or total shrinkage in all patients, with no local scarring or deformity at the injection site. Side effects manifested as local pain at the site of injection and fever (37.5–38.5°C) observed in three patients, but the symptoms resolved within a few days.<br/> <br/> <b>Conclusions:</b> Since OK-432 therapy is simple, easy, safe and effective, it can be used as an alternative to surgery in the treatment of recurrent thyroglossal duct cyst after surgery.


Author(s):  
Duha Hejla ◽  
◽  
Erella Elkon-Tamir ◽  
Li-tal Pratt ◽  
Oshri Wasserzug ◽  
...  

Thyroglossal duct cysts are the most common congenital abnormality in the neck, accounting for 70-75% of midline neck masses in children [1]. Late in the 4th week of gestation, the thyroid anlage develops as a small, solid mass of endoderm proliferating at the foramen cecum. As the thyroid anlage descends caudally in the neck, it maintains an attachment to the site of origin at the level of the foramen cecum of the tongue via the thyroglossal duct [2]. The thyroglossal duct typically involutes and atrophies between 7 and 10 weeks of gestation by the time the thyroid gland reaches its final position inferior to the cricoid cartilage [2]. The source of TGDC is believed to be persistent remnants of the thyroglossal duct. Due to the communication of the duct to the mouth via the foramen cecum, thyroglossal cysts can become infected with oral flora. One-third of patients of all ages will present with a concurrent or prior infection, and one-quarter will present with a draining sinus from spontaneous or incisional drainage of an abscess [3]. The cysts occur almost equally in both sexes [4,5].


Sign in / Sign up

Export Citation Format

Share Document