Abstract
Among congenital neck masses seen in the pediatric population, thyroglossal duct cysts are the most common. This chapter will explore the cyst’s underlying embryologic pathogenesis from a persistent thyroglossal tract and why the lesion presents in a typical midline position. Additional sections are dedicated to epidemiology, pertinent history, physical exam findings, and differential diagnosis. Successful management of thyroglossal lesions requires imaging, preferably ultrasonography, to document the presence of a functioning thyroid gland, and excision of the cyst using the Sistrunk procedure. Strategies for dealing with a recurrent or infected cyst are also included.
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References
Enepekides DJ. Management of congenital anomalies of the neck. Facial Plast Surg Clin North Am. 2001;9(1):131–45.
Sadler TW. Langman’s medical embryology. 11th ed. Philadelphia: Lippincott Williams and Wilkins; 2010. S. 277–9.
Ellis PD, van Nostrand AW. The applied anatomy of thyroglossal tract remnants. Laryngoscope. 1977;87(5):765–70.
Mussak EN, Kacker A. Surgical and medical management of midline ectopic thyroid. Otolaryngol Head Neck Surg. 2007;136(6):870–2.
Allard RH. The thyroglossal cyst. Head Neck Surg. 1982;5(2):134–46.
Soucy P, Penning J. The clinical relevance of certain observations on the histology of the thyroglossal tract. J Pediatric Surg. 1984;19(5):506–9.
Todd NW. Common congenital anomalies 2 the neck. Embryology and surgical anatomy. Surg Clin North Am. 1993;73(4):599–610.
Brousseau VJ, Solares CA, Xu M, et al. Thyroglossal duct cysts: presentation and management in children versus adults. Int J Pediatr Otorhinolaryngol. 2003;67(12):1285–90.
Radkowski D, Arnold J, Healy GB, et al. Thyroglossal duct remnants. Preoperative evaluation and management. Arch Otolaryngol Head Neck Surg. 1991;117(12):1378–81.
Greinwald JH Jr, Leichtman LG, Simko EJ. Hereditary thyroglossal duct cysts. Arch Otolaryngol Head Neck Surg. 1996;122(10):1094–6.
Josephson GD, Spencer WR, Josephson JS. Thyroglossal duct cyst: the New York Eye and Ear Infirmary experience and a literature review. Ear Nose Throat J. 1998;77(8):642–4, 646–7, 651.
Byard RW, Bourne AJ, Silver MM. The association of lingual thyroglossal duct remnants with sudden death in infancy. Int J Pediatr Otorhinolaryngol. 1990;20(2):107–12.
Solomon JR, Rangecroft L. Thyroglossal-duct lesions in childhood. J Pediatr Surg. 1984;19(5):555–61.
Foley DS, Fallat ME. Thyroglossal duct and other congenital midline cervical anomalies. Semin Pediatr Surg. 2006;15(2):70–5.
Peretz A, Leiberman E, Kapelushnik J, et al. Thyroglossal duct carcinoma in children: case presentation and review of the literature. Thyroid. 2004;14(9):777–85.
Tracy TF Jr, Muratore CS. Management of common head and neck masses. Semin Pediatr Surg. 2007;16(1):3–13.
Pinczower E, Crockett DM, Atkinson JB, et al. Preoperative thyroid scanning in presumed thyroglossal duct cysts. Arch Otolaryngol Head Neck Surg. 1992;118(9):985–8.
Gupta P, Maddalozzo J. Preoperative sonography in presumed thyroglossal duct cysts. Arch Otolaryngol Head Neck Surg. 2001;127(2):200–2.
Chandra RK, Maddalozzo J, Kovarik P. Histological characterization of the thyroglossal tract: implications for surgical management. Laryngoscope. 2001;111(6):1002–5.
Hirshoren N, Neuman T, Udassin R, et al. The imperative of the Sistrunk operation: review of 160 thyroglossal tract remnant operations. Otolaryngol Head Neck Surg. 2009;140(3):338–42.
Heshmati HM, Fatourechi V, van Heerden JA, et al. Thyroglossal duct carcinoma: report of 12 cases. Mayo Clin Proc. 1997;72(4):315–9.
Sistrunk WE. The surgical treatment of cysts of the thyroglossal tract. Ann Surg. 1920;71(2):121–2.
Bourjat P, Cartier J, Woether JP. Thyroglossal duct cyst in hyoid bone: CT confirmation. J Comput Assist Tomogr. 1988;12(5):871–3.
Podoshin L, Fradis M, Goldstein J, et al. Intrahyoid thyroglossal cyst. J Laryngol Otol. 1989;103(5):539–42.
Pelausa ME, Forte V. Sistrunk revisited: a 10-year review of revision thyroglossal duct surgery at Toronto’s Hospital for Sick Children. J Otolaryngol. 1989;18(7):325–33.
Bennett KG, Organ C, Willliams R. Is the treatment for thryroglossal duct cysts too extensive? Am J Surg. 1986;152(6):602–5.
Patel NN, Hartley BE, Howard DJ. Management of thyroglossal tract disease after failed Sistrunk’s procedure. J Laryngol Otol. 2003;117(9):710–2.
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Jones, J., Jones, D. (2014). Thyroglossal Duct Cysts. In: Rahbar, R., Rodriguez-Galindo, C., Meara, J., Smith, E., Perez-Atayde, A. (eds) Pediatric Head and Neck Tumors. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8755-5_43
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DOI: https://doi.org/10.1007/978-1-4614-8755-5_43
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