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GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNOKHC)

ISSN 1865-1038

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Thyroglossal duct cysts management

Poster

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  • 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

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2009;5:Doc84

doi: 10.3205/cpo000488, urn:nbn:de:0183-cpo0004882

Published: April 16, 2009

© 2009 Balica et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Abstract

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.