Loading…
Risks and complications of thyroglossal duct cyst removal
Objectives/Hypothesis Thyroglossal duct cysts (TGDCs) are the most common congenital neck cyst and typically present in childhood or adolescence, although a subset remains asymptomatic until adulthood. Although treatment involves surgical excision, few large‐scale studies exist regarding the risks o...
Saved in:
| Published in: | The Laryngoscope 2020-02, Vol.130 (2), p.381-384 |
|---|---|
| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c3578-956445fc4f81e2d8b9406068625cd36a3d288d88c45df4525462fae1fabea613 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c3578-956445fc4f81e2d8b9406068625cd36a3d288d88c45df4525462fae1fabea613 |
| container_end_page | 384 |
| container_issue | 2 |
| container_start_page | 381 |
| container_title | The Laryngoscope |
| container_volume | 130 |
| creator | Anderson, Jennifer L. Vu, Kimberly Haidar, Yarah M. Kuan, Edward C. Tjoa, Tjoson |
| description | Objectives/Hypothesis
Thyroglossal duct cysts (TGDCs) are the most common congenital neck cyst and typically present in childhood or adolescence, although a subset remains asymptomatic until adulthood. Although treatment involves surgical excision, few large‐scale studies exist regarding the risks of surgical treatment of TGDCs in adults. This study aims to describe the characteristics of adult patients undergoing TGDC excision and to analyze risk factors associated with reoperation or other postoperative complications.
Study Design
Retrospective cohort study utilizing the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database.
Methods
Patients age ≥ 18 years in the NSQIP database who underwent TGDC removal from 2005 to 2014 were included. Covariates included patient demographics, comorbidities, preoperative variables, and intraoperative variables. Outcomes included reoperation, complications, and length of hospital stay.
Results
A total of 793 cases met inclusion criteria. Patients were predominantly female (57.0%) and white (64.3%), with a mean age of 44.3 years. Thirty‐day mortality did not occur in this cohort, but 3.0% of patients experienced at least one complication. Forty‐eight patients (6.1%) underwent reoperation. Wound infection rates were higher in revision operations compared with primary operations (8.3% and 0.9%, respectively; P = .003). Low preoperative sodium was associated with reoperation (P = .047). Additionally, length of hospital stay was associated with increased total operative time (P = .02).
Conclusions
TGDC excision is a safe and well‐tolerated procedure in the adult population, with low complication rates. However, the risk of reoperation, surgical‐site infections, and medical complications should be taken into consideration during preoperative planning.
Level of Evidence
NA Laryngoscope, 130:381–384, 2020 |
| doi_str_mv | 10.1002/lary.27918 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2191010452</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2191010452</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3578-956445fc4f81e2d8b9406068625cd36a3d288d88c45df4525462fae1fabea613</originalsourceid><addsrcrecordid>eNp9kE1LAzEURYMotlY3_gAZcCPCaD6nybIUv6AglC50FdIko1MzTU1mlPn3pk514cLVW7zzLu8eAE4RvEIQ4munQneFxwLxPTBEjKCcCsH2wTAtSc4ZfhqAoxhXEKIxYfAQDAjkBcOCD4GYV_EtZmptMu3rjau0aiq_jpkvs-a1C_7F-RiVy0yrm0x3scmCrf2HcsfgoFQu2pPdHIHF7c1iep_PHu8eppNZrgkb81ywglJWalpyZLHhS0FhAQteYKYNKRQxmHPDuabMlJRhRgtcKotKtbSqQGQELvrYTfDvrY2NrKuorXNqbX0bJUYCQQTTZULP_6Ar34Z1ek5iQnGqDwVL1GVP6ZCaBVvKTajqpFAiKLc-5dan_PaZ4LNdZLusrflFfwQmAPXAZ-Vs90-UnE3mz33oFxJ_fvA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2342001095</pqid></control><display><type>article</type><title>Risks and complications of thyroglossal duct cyst removal</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Anderson, Jennifer L. ; Vu, Kimberly ; Haidar, Yarah M. ; Kuan, Edward C. ; Tjoa, Tjoson</creator><creatorcontrib>Anderson, Jennifer L. ; Vu, Kimberly ; Haidar, Yarah M. ; Kuan, Edward C. ; Tjoa, Tjoson</creatorcontrib><description>Objectives/Hypothesis
Thyroglossal duct cysts (TGDCs) are the most common congenital neck cyst and typically present in childhood or adolescence, although a subset remains asymptomatic until adulthood. Although treatment involves surgical excision, few large‐scale studies exist regarding the risks of surgical treatment of TGDCs in adults. This study aims to describe the characteristics of adult patients undergoing TGDC excision and to analyze risk factors associated with reoperation or other postoperative complications.
Study Design
Retrospective cohort study utilizing the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database.
Methods
Patients age ≥ 18 years in the NSQIP database who underwent TGDC removal from 2005 to 2014 were included. Covariates included patient demographics, comorbidities, preoperative variables, and intraoperative variables. Outcomes included reoperation, complications, and length of hospital stay.
Results
A total of 793 cases met inclusion criteria. Patients were predominantly female (57.0%) and white (64.3%), with a mean age of 44.3 years. Thirty‐day mortality did not occur in this cohort, but 3.0% of patients experienced at least one complication. Forty‐eight patients (6.1%) underwent reoperation. Wound infection rates were higher in revision operations compared with primary operations (8.3% and 0.9%, respectively; P = .003). Low preoperative sodium was associated with reoperation (P = .047). Additionally, length of hospital stay was associated with increased total operative time (P = .02).
Conclusions
TGDC excision is a safe and well‐tolerated procedure in the adult population, with low complication rates. However, the risk of reoperation, surgical‐site infections, and medical complications should be taken into consideration during preoperative planning.
Level of Evidence
NA Laryngoscope, 130:381–384, 2020</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.27918</identifier><identifier>PMID: 30865298</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Cysts ; Neck ; neck mass ; NSQIP ; Sistrunk procedure ; Throat surgery ; thyroglossal duct ; Thyroglossal duct cyst</subject><ispartof>The Laryngoscope, 2020-02, Vol.130 (2), p.381-384</ispartof><rights>2019 The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2020 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3578-956445fc4f81e2d8b9406068625cd36a3d288d88c45df4525462fae1fabea613</citedby><cites>FETCH-LOGICAL-c3578-956445fc4f81e2d8b9406068625cd36a3d288d88c45df4525462fae1fabea613</cites><orcidid>0000-0001-8777-4145 ; 0000-0003-4211-6979 ; 0000-0002-1471-5803 ; 0000-0003-3475-0718</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30865298$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anderson, Jennifer L.</creatorcontrib><creatorcontrib>Vu, Kimberly</creatorcontrib><creatorcontrib>Haidar, Yarah M.</creatorcontrib><creatorcontrib>Kuan, Edward C.</creatorcontrib><creatorcontrib>Tjoa, Tjoson</creatorcontrib><title>Risks and complications of thyroglossal duct cyst removal</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objectives/Hypothesis
Thyroglossal duct cysts (TGDCs) are the most common congenital neck cyst and typically present in childhood or adolescence, although a subset remains asymptomatic until adulthood. Although treatment involves surgical excision, few large‐scale studies exist regarding the risks of surgical treatment of TGDCs in adults. This study aims to describe the characteristics of adult patients undergoing TGDC excision and to analyze risk factors associated with reoperation or other postoperative complications.
Study Design
Retrospective cohort study utilizing the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database.
Methods
Patients age ≥ 18 years in the NSQIP database who underwent TGDC removal from 2005 to 2014 were included. Covariates included patient demographics, comorbidities, preoperative variables, and intraoperative variables. Outcomes included reoperation, complications, and length of hospital stay.
Results
A total of 793 cases met inclusion criteria. Patients were predominantly female (57.0%) and white (64.3%), with a mean age of 44.3 years. Thirty‐day mortality did not occur in this cohort, but 3.0% of patients experienced at least one complication. Forty‐eight patients (6.1%) underwent reoperation. Wound infection rates were higher in revision operations compared with primary operations (8.3% and 0.9%, respectively; P = .003). Low preoperative sodium was associated with reoperation (P = .047). Additionally, length of hospital stay was associated with increased total operative time (P = .02).
Conclusions
TGDC excision is a safe and well‐tolerated procedure in the adult population, with low complication rates. However, the risk of reoperation, surgical‐site infections, and medical complications should be taken into consideration during preoperative planning.
Level of Evidence
NA Laryngoscope, 130:381–384, 2020</description><subject>Cysts</subject><subject>Neck</subject><subject>neck mass</subject><subject>NSQIP</subject><subject>Sistrunk procedure</subject><subject>Throat surgery</subject><subject>thyroglossal duct</subject><subject>Thyroglossal duct cyst</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LAzEURYMotlY3_gAZcCPCaD6nybIUv6AglC50FdIko1MzTU1mlPn3pk514cLVW7zzLu8eAE4RvEIQ4munQneFxwLxPTBEjKCcCsH2wTAtSc4ZfhqAoxhXEKIxYfAQDAjkBcOCD4GYV_EtZmptMu3rjau0aiq_jpkvs-a1C_7F-RiVy0yrm0x3scmCrf2HcsfgoFQu2pPdHIHF7c1iep_PHu8eppNZrgkb81ywglJWalpyZLHhS0FhAQteYKYNKRQxmHPDuabMlJRhRgtcKotKtbSqQGQELvrYTfDvrY2NrKuorXNqbX0bJUYCQQTTZULP_6Ar34Z1ek5iQnGqDwVL1GVP6ZCaBVvKTajqpFAiKLc-5dan_PaZ4LNdZLusrflFfwQmAPXAZ-Vs90-UnE3mz33oFxJ_fvA</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Anderson, Jennifer L.</creator><creator>Vu, Kimberly</creator><creator>Haidar, Yarah M.</creator><creator>Kuan, Edward C.</creator><creator>Tjoa, Tjoson</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8777-4145</orcidid><orcidid>https://orcid.org/0000-0003-4211-6979</orcidid><orcidid>https://orcid.org/0000-0002-1471-5803</orcidid><orcidid>https://orcid.org/0000-0003-3475-0718</orcidid></search><sort><creationdate>202002</creationdate><title>Risks and complications of thyroglossal duct cyst removal</title><author>Anderson, Jennifer L. ; Vu, Kimberly ; Haidar, Yarah M. ; Kuan, Edward C. ; Tjoa, Tjoson</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3578-956445fc4f81e2d8b9406068625cd36a3d288d88c45df4525462fae1fabea613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cysts</topic><topic>Neck</topic><topic>neck mass</topic><topic>NSQIP</topic><topic>Sistrunk procedure</topic><topic>Throat surgery</topic><topic>thyroglossal duct</topic><topic>Thyroglossal duct cyst</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Anderson, Jennifer L.</creatorcontrib><creatorcontrib>Vu, Kimberly</creatorcontrib><creatorcontrib>Haidar, Yarah M.</creatorcontrib><creatorcontrib>Kuan, Edward C.</creatorcontrib><creatorcontrib>Tjoa, Tjoson</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Anderson, Jennifer L.</au><au>Vu, Kimberly</au><au>Haidar, Yarah M.</au><au>Kuan, Edward C.</au><au>Tjoa, Tjoson</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risks and complications of thyroglossal duct cyst removal</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2020-02</date><risdate>2020</risdate><volume>130</volume><issue>2</issue><spage>381</spage><epage>384</epage><pages>381-384</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
Thyroglossal duct cysts (TGDCs) are the most common congenital neck cyst and typically present in childhood or adolescence, although a subset remains asymptomatic until adulthood. Although treatment involves surgical excision, few large‐scale studies exist regarding the risks of surgical treatment of TGDCs in adults. This study aims to describe the characteristics of adult patients undergoing TGDC excision and to analyze risk factors associated with reoperation or other postoperative complications.
Study Design
Retrospective cohort study utilizing the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database.
Methods
Patients age ≥ 18 years in the NSQIP database who underwent TGDC removal from 2005 to 2014 were included. Covariates included patient demographics, comorbidities, preoperative variables, and intraoperative variables. Outcomes included reoperation, complications, and length of hospital stay.
Results
A total of 793 cases met inclusion criteria. Patients were predominantly female (57.0%) and white (64.3%), with a mean age of 44.3 years. Thirty‐day mortality did not occur in this cohort, but 3.0% of patients experienced at least one complication. Forty‐eight patients (6.1%) underwent reoperation. Wound infection rates were higher in revision operations compared with primary operations (8.3% and 0.9%, respectively; P = .003). Low preoperative sodium was associated with reoperation (P = .047). Additionally, length of hospital stay was associated with increased total operative time (P = .02).
Conclusions
TGDC excision is a safe and well‐tolerated procedure in the adult population, with low complication rates. However, the risk of reoperation, surgical‐site infections, and medical complications should be taken into consideration during preoperative planning.
Level of Evidence
NA Laryngoscope, 130:381–384, 2020</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>30865298</pmid><doi>10.1002/lary.27918</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0001-8777-4145</orcidid><orcidid>https://orcid.org/0000-0003-4211-6979</orcidid><orcidid>https://orcid.org/0000-0002-1471-5803</orcidid><orcidid>https://orcid.org/0000-0003-3475-0718</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0023-852X |
| ispartof | The Laryngoscope, 2020-02, Vol.130 (2), p.381-384 |
| issn | 0023-852X 1531-4995 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2191010452 |
| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Cysts Neck neck mass NSQIP Sistrunk procedure Throat surgery thyroglossal duct Thyroglossal duct cyst |
| title | Risks and complications of thyroglossal duct cyst removal |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T12%3A31%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Risks%20and%20complications%20of%20thyroglossal%20duct%20cyst%20removal&rft.jtitle=The%20Laryngoscope&rft.au=Anderson,%20Jennifer%20L.&rft.date=2020-02&rft.volume=130&rft.issue=2&rft.spage=381&rft.epage=384&rft.pages=381-384&rft.issn=0023-852X&rft.eissn=1531-4995&rft_id=info:doi/10.1002/lary.27918&rft_dat=%3Cproquest_cross%3E2191010452%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c3578-956445fc4f81e2d8b9406068625cd36a3d288d88c45df4525462fae1fabea613%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2342001095&rft_id=info:pmid/30865298&rfr_iscdi=true |