scholarly journals Modified sistrunk operation of thyroglossal Cyst–Fistula

2018 ◽  
Vol 15 (1) ◽  
pp. 102
Author(s):  
AliAbdul-Aziz Al-Shawi
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.


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>


2016 ◽  
Vol 5 (2) ◽  
pp. 45-53
Author(s):  
Shaikh Nurul Fattah Rumi ◽  
Shaikh Muniruddin Ahmad ◽  
Shahnaz Rahman ◽  
Abdul Hanif Tablu

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)


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


2018 ◽  
Vol 28 (1) ◽  
pp. 91-94
Author(s):  
Tomoaki Murakami ◽  
Daisuke Maki ◽  
Koji Ebisumoto ◽  
Akihiro Sakai ◽  
Masahiro Iida ◽  
...  
Keyword(s):  

1956 ◽  
Vol 70 (04) ◽  
pp. 240-241 ◽  
Author(s):  
H. E. M. Kay
Keyword(s):  

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.


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