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Thyroglossal duct cyst excision with hyoid bone preservation

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Abstract

The objective of this study is to assess complete removal of the thyroglossal duct cyst (TGDC) and its tract(s) to the base of the tongue with sparing of the hyoid bone. This is a prospective cohort study. Tertiary hospital (Zagazig university hospital). This prospective study was carried out on 21 patients who had been diagnosed preoperatively as TGDC or fistula. All patients were managed by dissection and removal of the TGDC and its tract(s) to the base of the tongue with sparing of the hyoid bone. The study was conducted on 12 males (57.14 %) and 9 females (42.85 %) with mean age 6.8 years (4–20 years). After histopathological examination; 16 patients (9 male and 7 female) were proved to have TGDC and 5 patients (3 male and 2 female) were proved to have dermoid cyst. The hyoid bone could be preserved in all cases except in two cases for whom the middle third of the hyoid bone was removed with the specimen. Multiple tracts were found in three cases and could be identified and dissected successfully with sparing of the hyoid bone. Identification, dissection, and complete excision of the TGDC with its attaching tract(s) could be performed without hyoid bone resection with no recurrence and minimal minor complication. The impacts of this hyoid bone preservation versus removal on the pattern of swallowing and retroglossal space need to be studied.

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References

  1. Al-Khateeb TH, Al Zoubi F (2007) Congenital neck masses: a descriptive retrospective study of 252 cases. J Oral Maxillofac Surg 65(11):2242–2247

    Article  PubMed  Google Scholar 

  2. Organ GM, Organ CH Jr (2000) Thyroid gland and surgery of the thyroglossal duct: exercise in applied embryology. World J Surg 24(8):886–890

    Article  CAS  PubMed  Google Scholar 

  3. Allard RH (1982) The thyroglossal cyst. Head Neck Surg 5(2):134–146

    Article  CAS  PubMed  Google Scholar 

  4. Tas A, Karasalihoglu AR, Yagiz R, Doganay L, Guven S (2003) Thyroglossal duct cyst in hyoid bone: unusual location. J Laryngol Otol 117(8):656–657

    Article  PubMed  Google Scholar 

  5. Bhama AR, Smith RJ, Robinson RA, Weigel RJ, Sugg SL, Howe JR, Lal G (2014) Preoperative evaluation of thyroglossal duct cysts: children versus adults—is there a difference? Am J Surg 207(6):902–906

    Article  PubMed  Google Scholar 

  6. Mondin Y, Ferlito A, Muzzi E, Silver CE, Fagan JJ, Devaney KO, Rinaldo A (2008) Thyroglossal duct cyst: personal experience and literature review. Auris Nasus Larynx 35(1):11–25

    Article  PubMed  Google Scholar 

  7. McHenry CR, Danish R, Murphy T, Marty JJ (1993) Atypical thyroglossal duct cyst: a rare cause for a solitary cold thyroid nodule in childhood. Am Surg 59(4):223–228

    CAS  PubMed  Google Scholar 

  8. Johnston R, Wei JL, Maddalozzo J (2003) Intra-thyroid thyroglossal duct cyst as a differential diagnosis of thyroid nodule. Int J Pediatr Otorhinolaryngol 67(9):1027–1030

    Article  PubMed  Google Scholar 

  9. North JH, Foley AM, Hamill RL (1998) Intrathyroid cysts of thyroglossal duct origin. Am Surg 64(9):886–888

    PubMed  Google Scholar 

  10. Bourjat P, Cartier J, Woerther JP (1988) Thyroglossal duct cyst in hyoid bone: CT confirmation. J Comput Assist Tomogr 12(5):871–873

    Article  CAS  PubMed  Google Scholar 

  11. Podoshin L, Fradis M, Goldstein J, Misselevitch I, Boss JH (1989) Intrahyoid thyroglossal cyst. J Laryngol Otol 103(5):539–542

    Article  CAS  PubMed  Google Scholar 

  12. Noyek AM, Friedberg J (1981) Thyroglossal duct and ectopic thyroid disorders. Otolaryngol Clin North Am 14(1):187

    CAS  PubMed  Google Scholar 

  13. Schlang H (1893) Uber die Fistula colli congenital. Arch Klin Chir 46(92):390–392

    Google Scholar 

  14. Sistrunk WE (1920) The surgical treatment of cysts of the thyroglossal tract. Ann Surg 71:121–122

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Flageole H, Laberge JM, Nguyen LT, Adolph VR, Guttman FM (1995) Reoperation for cysts of the thyroglossal duct. Can J Surg J Can de Chir 38(3):255–259

    CAS  Google Scholar 

  16. Ren W, Zhi K, Zhao L, Gao L (2011) Presentations and management of thyroglossal duct cyst in children versus adults: a review of 106 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 111(2):e1–e6

    Article  Google Scholar 

  17. Ducic Y, Chou S, Drkulec J, Ouellette H, Lamothe A (1998) Recurrent thyroglossal duct cysts: a clinical and pathologic analysis. Int J Pediatr Otorhinolaryngol 44(1):47–50

    Article  CAS  PubMed  Google Scholar 

  18. Swaid AI, Al-Ammar AY (2008) Management of thyroglossal duct cyst. Open Otorhinolaryngol J 2:26–28

    Article  Google Scholar 

  19. His W (1891) Der Tractus thyroglossus und seinen Beziehungen zum Zungenbein. Arch Anatomie Physiolog (Anatomische Abteilung) 27: 32

  20. Ewing CA, Kornblut A, Greeley C, Manz H (1999) Presentations of thyroglossal duct cysts in adults. Eur Arch Otorhinolaryngol 256(3):136–138

    Article  CAS  PubMed  Google Scholar 

  21. Sprinzl GM, Koebke J, Wimmers-Klick J, Eckel HE, Thumfart WF (2000) Morphology of the human thyroglossal tract: a histologic and macroscopic study in infants and children. Ann Otol Rhinol Laryngol 109(12 Pt 1):1135–1139

    Article  CAS  PubMed  Google Scholar 

  22. Perkins AJ, Inglis AF, Sie KC, Manning SC (2006) Recurrent thyroglossal duct cysts: a 23-year experience and a new method for management. Ann Otol Rhinol Laryngol 115:850–856

    Article  PubMed  Google Scholar 

  23. Galluzzi F, Pignataro L, Gaini RM, Hartley B, Garavello W (2013) Risk of recurrence in children operated for thyroglossal duct cysts: a systematic review. J Pediatr Surg 48(10):222–227

    Article  PubMed  Google Scholar 

  24. Maddalozzo J, Venkatesan TK, Gupta P (2001) Complications associated with the Sistrunk procedure. Laryngoscope 111(1):119–123

    Article  CAS  PubMed  Google Scholar 

  25. Wootten CT, Goudy SL, Rutter MJ, Willging JP, Cotton RT (2009) Airway injury complicating excision of thyroglossal duct cysts. Int J Pediatr Otorhinolaryngol 73(6):797–801

    Article  CAS  PubMed  Google Scholar 

  26. Ahuja AT, King AD, Metreweli C (2000) Sonographic evaluation of thyroglossal duct cysts in children. Clin Radiol 55(10):770–774

    Article  CAS  PubMed  Google Scholar 

  27. Lee DH, Jung SH, Yoon TM, Lee JK, Joo YE, Lim SC (2013) Preoperative computed tomography of suspected thyroglossal duct cysts in children under 10-years-of-age. Int J Pediatr Otorhinolaryngol 77(1):45–48

    Article  PubMed  Google Scholar 

  28. Marianowski R, Ait Amer JL, Morisseau-Durand MP, Manach Y, Rassi S (2003) Risk factors for thyroglossal duct remnants after Sistrunk procedure in a pediatric population. Int J Pediatr Otorhinolaryngol 67(1):19–23

    Article  CAS  PubMed  Google Scholar 

  29. Geller KA, Cohen D, Koempel JA (2014) Thyroglossal duct cyst and sinuses: a 20-year Los Angeles experience and lessons learned. Int J Pediatr Otorhinolaryngol 78(2):264–267

    Article  PubMed  Google Scholar 

  30. al-Dousary S (1997) Current management of thyroglossal-duct remnant. J Otolaryngol 26(4):259–265

    CAS  PubMed  Google Scholar 

  31. Hoffman MA, Schuster SR (1987) Thyroglossal duct remnants in infants and children: reevaluation of histopathology and methods for resection. Ann Otol Rhinol Laryngol 97(5Pt 1):483–486

    Google Scholar 

  32. Sameer KS, Mohanty S, Correa MM, Das K (2012) Lingual thyroglossal duct cysts—a review. Int J Pediatr Otorhinolaryngol 76(20):165–168

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

    Mohammad Waheed El-Anwar & Ahmed Abdel Fattah Nofal

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  1. Mohammad Waheed El-Anwar
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  2. Ahmed Abdel Fattah Nofal
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Correspondence to Ahmed Abdel Fattah Nofal.

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El-Anwar, M.W., Nofal, A.A.F. Thyroglossal duct cyst excision with hyoid bone preservation. Eur Arch Otorhinolaryngol 273, 1521–1526 (2016). https://doi.org/10.1007/s00405-015-3624-7

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  • DOI: https://doi.org/10.1007/s00405-015-3624-7

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