Management of suspected thyroglossal duct cysts

The aim of this study was to evaluate management of children with an anterior midline neck swelling by establishing 1) whether a preoperative ultrasound scan (USS) was appropriately requested, performed and reported; 2) whether there was preoperative infection; 3) whether a Sistrunk procedure was pe...

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Bibliographic Details
Published in:Journal of pediatric surgery 2018-02, Vol.53 (2), p.281-282
Main Authors: Povey, Hannah G., Selvachandran, Haran, Peters, Robert T., Jones, Matthew O.
Format: Article
Language:English
Subjects:
Anterior midline neck swelling
Child
Child, Preschool
Diagnosis, Differential
Female
Humans
Male
Practice Patterns, Physicians' - statistics & numerical data
Recurrence
Retrospective Studies
Sistrunk procedure
Thyroglossal Cyst - complications
Thyroglossal Cyst - diagnostic imaging
Thyroglossal Cyst - surgery
Thyroglossal duct cyst
Ultrasonography
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Summary:The aim of this study was to evaluate management of children with an anterior midline neck swelling by establishing 1) whether a preoperative ultrasound scan (USS) was appropriately requested, performed and reported; 2) whether there was preoperative infection; 3) whether a Sistrunk procedure was performed; 4) the rate of thyroglossal duct cyst (TGDC) recurrence following simple excision vs. Sistrunk procedure. A single centre retrospective study of children who underwent surgery for anterior midline neck swelling between April 2000 and May 2015 at our institution was performed. These were identified using a clinical coding system, and data were collected from electronic medical records, radiology, and histopathology reports. Recurrence rates between simple excision and Sistrunk groups were compared using Chi-square test. 227 patients were identified (115 male, 112 female). 169 (74%) had a preoperative USS. The presence of a thyroid gland was stated in 79% of USS reports. This increased to 92% when the requesting surgeon had specifically asked about this. 48 (21%) patients underwent simple excision, while 175 (77%) had a Sistrunk procedure. Recurrence was significantly more likely following simple excision than a Sistrunk procedure (29% vs 6.9%; P
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2017.11.019