Wide anterior neck dissection for management of recurrent thyroglossal duct cysts in adults

Author:

O'Neil L M,Gunaratne D A,Cheng A T,Riffat F

Abstract

AbstractObjective:Thyroglossal duct cyst recurrence following resection is attributed to anatomical variability and residual thyroglossal ducts. In adults, thyroglossal duct cyst recurrence is extremely rare and a surgical solution is yet to be well explored. This paper describes our approach to the management of recurrent thyroglossal duct cysts and sinuses in adults using a wide anterior neck dissection.Method:A retrospective review was performed to identify adults who underwent a wide anterior neck dissection for recurrent thyroglossal duct cyst management between 1 January 2009 and 1 January 2015.Results:Six males and one female were included in the series (mean age, 26.4 ± 10.9 years). Recurrence occurred at a mean of 18 ± 9.8 months following primary surgical management (3 patients underwent cystectomy and 4 had a Sistrunk procedure). All patients subsequently underwent wide anterior neck dissection; there was no further recurrence over the 12-month average follow-up period.Conclusion:This paper describes a wide anterior neck dissection technique for the management of recurrent thyroglossal duct cysts or sinuses in adults; this approach addresses the variable anatomy of the thyroglossal duct and is associated with minimal morbidity.

Publisher

Cambridge University Press (CUP)

Subject

Otorhinolaryngology,General Medicine

Cited by 5 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. The central neck in 3 dimensions: a digital model derived from radiology, peer-reviewed literature, and medical illustration;Operative Techniques in Otolaryngology-Head and Neck Surgery;2024-08

2. Pediatric thyroglossal duct cyst excision: A NSQIP-P analysis of 30-day complications;International Journal of Pediatric Otorhinolaryngology;2021-11

3. Why Central Neck Dissection Works (and Fails) for Recurrent Thyroglossal Duct Remnants;Annals of Otology, Rhinology & Laryngology;2019-07-04

4. Thyroglossal Duct Cyst;Diagnostic Pathology: Endocrine;2018

5. From legacy to novel: vidian neurectomy and eustachian tube balloon dilatation in modern ENT practice;The Journal of Laryngology & Otology;2016-07

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