Successful treatment of a thyroglossal duct cyst requires surgical extirpation of the cyst with its tract through the tongue base. Incomplete removal results in cyst recurrence, which is the most significant common complications of surgery. The Sistrunk's procedure increases the chances of complete removal of all affected tissue.
Design
KVG Medical College, Department of ENT, Head and Neck Surgery.
Intervention
A total of 22 cases of thyroglossal cysts (primary and secondary) operated were included in our study.
Result
Recurrence was seen in two out of the 22 cases operated after one year of follow-up, and all the recurrences were seen in the secondary cysts.
Conclusions
Sistrunk's operation is the treatment of choice for primary thyroglossal cysts. Secondary cysts should be treated with removal of core of tongue base muscle and foramen cecum mucosa along with hyoid and scarred cyst excision.
Thyroglossal duct and ectopic thyroid disorders. Otolaryngol Clin North Am 1981;14:187-201.
The problems of recurrent thyroglossal duct remains.
Sistrunk revisited: A 10-year review of revision thyroglossal duct surgery at Toronto's Hospital for Sick Children . J Otolaryngol 1989;18:325-33.
Recurrent thyroglossal duct cysts: A cilinical pathologic analysis. Int J Pediatr Otorhinolaryngol 1998;44:47-50.
Thyroglossal duct cyst: Jurnalul de Chirurgie, Iasi, 2009;5(1).
Surgical review of thyroglossal cysts: Singapore med journal 1982;23(6).
Thyroglossal duct cysts: A consideration in adults. Am Surg 2005;71(6): 508-11.
Three cases of papillary carcinoma and three of adenoma in thyroglossal duct cysts: Clinical-diagnostic comparison with benign thyroglossal duct cysts. J Endocrinol Invest 2002;25: 947-54.
Thyroglossal duct cyst: A comparison between children and adults. Am J Otolaryngol 2008;29(2):83-87.
Percutaneous ethanol injection of thyroglossal duct cysts. Endocr Pract 2006;12(4):355-57.
Risk factors for thyroglossal duct remnents after Sistrunk procedure in a pediatric population. Int J Pediatr otorhinolaryngol 2003;67:19-23.
Annals of Otology, Rhinology and Laryngology 2006;115(11):850-56.
