gms | German Medical Science

80. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

20.05. - 24.05.2009, Rostock

Thyroglossal duct cysts management

Meeting Abstract

  • Nicolae Balica - Univ. Victor Babes, Dept. ENT, Timisoara, Rumänien
  • Alin H. Marin - Univ. Victor Babes, Dept. ENT, Timisoara, Rumänien
  • S. Lupescu - Univ. Victor Babes, Dept. ENT, Timisoara, Rumänien
  • H. Stefanescu - Univ. Victor Babes, Dept. ENT, Timisoara, Rumänien
  • C. Doros - Univ. Victor Babes, Dept. ENT, Timisoara, Rumänien
  • corresponding author Stan Cotulbea - Univ. Victor Babes, Dept. ENT, Timisoara, Rumänien

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 80. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hnod402

DOI: 10.3205/09hnod402, URN: urn:nbn:de:0183-09hnod4024

Veröffentlicht: 17. April 2009

© 2009 Balica et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Thyroglossal duct cysts are remnants of the embryonic thyroglossal duct that may occur from the base of the tongue to the thyroid gland. Possible sites of thyroglossal cysts: base of the tongue, intralingual, suprahyoid, infrahyoid, prethyroid and pretracheal. Treatment may include: antibiotic medication (to treat the infection), surgical removal of the cyst and the thyroglossal duct, called the Sistrunk procedure.

Methods: Between 2000 and 2007, 78 patients with thyroglossal duct cysts and thyroglossal duct fistulas were treated in our clinic: 8 patients with thyroglossal duct fistulas; 70 patients with thyroglossal duct cysts; 50 patients were children; 28 patients were adults; 44 patients were males; 34 patients were females.

Results: Recurrences occurred in 4 cases: S.A. 1 years old, recurrences occurred after 5 months; D.S. 12 years old, recurrences occurred after 4 months; C.C. 32 years old, recurrences occurred after 4 months; B.F. 11 years old, recurrences occurred after 4 years.

Conclusions: The tryroglossal duct cysts are rare, congenital defects. A thyroglossal duct cyst has the chance of regrowing after surgery (~10%). The positive diagnosis should always include a complete preoperative (clinic and paraclinic) evaluation. Sistrunk procedure – removing the whole thyroglossal tract and cyst – represents the efficient surgical treatment. The anatomopathological exam is always requested to exclude a thyroid carcinoma.