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Wide anterior neck dissection for management of recurrent thyroglossal duct cysts in adults

Published online by Cambridge University Press:  04 August 2016

L M O'Neil ,
D A Gunaratne ,
A T Cheng  and
F Riffat
L M O'Neil*
Affiliation:
Department of Surgery, Blacktown Hospital, Sydney, Australia Sydney Medical School, University of Sydney, Sydney, Australia
D A Gunaratne
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, Sydney, Australia
A T Cheng
Affiliation:
Sydney Medical School, University of Sydney, Sydney, Australia Department of Otolaryngology, Head and Neck Surgery, Children's Hospital at Westmead, Sydney, Australia Discipline of Child Health and Paediatrics, University of Sydney, Sydney, Australia
F Riffat
Affiliation:
Sydney Medical School, University of Sydney, Sydney, Australia Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, Sydney, Australia Crown Princess Mary Cancer Centre, Westmead Hospital, Sydney, Australia
*
Address for correspondence: Dr Luke O'Neil, Department of Surgery, Blacktown Hospital, 18 Blacktown Road, Blacktown, NSW 2148, Australia Fax:+61 298 937 440 E-mail: [email protected]
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Abstract

Objective:

Thyroglossal duct cyst recurrence following resection is attributed to anatomical variability and residual thyroglossal ducts. In adults, thyroglossal duct cyst recurrence is extremely rare and a surgical solution is yet to be well explored. This paper describes our approach to the management of recurrent thyroglossal duct cysts and sinuses in adults using a wide anterior neck dissection.

Method:

A retrospective review was performed to identify adults who underwent a wide anterior neck dissection for recurrent thyroglossal duct cyst management between 1 January 2009 and 1 January 2015.

Results:

Six males and one female were included in the series (mean age, 26.4 ± 10.9 years). Recurrence occurred at a mean of 18 ± 9.8 months following primary surgical management (3 patients underwent cystectomy and 4 had a Sistrunk procedure). All patients subsequently underwent wide anterior neck dissection; there was no further recurrence over the 12-month average follow-up period.

Conclusion:

This paper describes a wide anterior neck dissection technique for the management of recurrent thyroglossal duct cysts or sinuses in adults; this approach addresses the variable anatomy of the thyroglossal duct and is associated with minimal morbidity.

Keywords

Thyroglossal CystRecurrenceAdultNeck Dissection
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Supplement S4 , July 2016 , pp. S41 - S44
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Al-Khateeb, TH, Al Zoubi, F. Congenital neck masses: a descriptive retrospective study of 252 cases. J Oral Maxillofac Surg 2007;65:2242–7Google Scholar
2 Ellis, PD, van Nostrand, AW. The applied anatomy of thyroglossal tract remnants. Laryngoscope 1977;87:765–70Google Scholar
3 Kurt, A, Ortug, C, Aydar, Y, Ortug, G. An incidence study on thyroglossal duct cysts in adults. Saudi Med J 2007;28:593–7Google Scholar
4 Ducic, Y, Chou, S, Drkulec, J, Ouellette, H, Lamothe, A. Recurrent thyroglossal duct cysts: a clinical and pathologic analysis. Int J Pediatr Otorhinolaryngol 1998;44:47–50 Google Scholar
5 Allard, RH. The thyroglossal cyst. Head Neck Surg 1982;5:134–46CrossRefGoogle ScholarPubMed
6 Foley, DS, Fallat, ME. Thyroglossal duct and other congenital midline cervical anomalies. Semin Pediatr Surg 2006;15:70–5Google Scholar
7 Oomen, KP, Modi, VK, Maddalozzo, J. Thyroglossal duct cyst and ectopic thyroid: surgical management. Otolaryngol Clin North Am 2015;48:15–27 CrossRefGoogle ScholarPubMed
8 Mickel, RA, Calcaterra, TC. Management of recurrent thyroglossal duct cysts. Arch Otolaryngol 1983;109:34–6CrossRefGoogle ScholarPubMed
9 Pollock, WF, Stevenson, EO. Cysts and sinuses of the thyroglossal duct. Am J Surg 1966;112:225–32Google Scholar
10 Horisawa, M, Niinomi, N, Ito, T. Anatomical reconstruction of the thyroglossal duct. J Pediatr Surg 1991;26:766–9CrossRefGoogle ScholarPubMed
11 LaRiviere, CA, Waldhausen, JH. Congenital cervical cysts, sinuses, and fistulae in pediatric surgery. Surg Clin North Am 2012;92:583–97Google Scholar
12 Schlange, H. About the congenital neck fistula [in German]. Arch Klin Chir 1893;46:390–2Google Scholar
13 Sistrunk, WE. Technique of removal of cysts and sinuses of the thyroglossal duct. Surg Gynaecol Obstet 1928;46:109–12Google Scholar
14 Galluzzi, F, Pignataro, L, Gaini, RM, Hartley, B, Garavello, W. Risk of recurrence in children operated for thyroglossal duct cysts: a systematic review. J Pediatr Surg 2013;48:222–7CrossRefGoogle ScholarPubMed
15 Hoffman, MA, Schuster, SR. Thyroglossal duct remnants in infants and children: reevaluation of histopathology and methods for resection. Ann Otol Rhinol Laryngol 1988;97:483–6Google Scholar
16 Hirshoren, N, Neuman, T, Udassin, R, Elidan, J, Weinberger, JM. The imperative of the Sistrunk operation: review of 160 thyroglossal tract remnant operations. Otolaryngol Head Neck Surg 2009;140:338–42CrossRefGoogle ScholarPubMed
17 Kim, MK, Pawel, BR, Isaacson, G. Central neck dissection for the treatment of recurrent thyroglossal duct cysts in childhood. Otolaryngol Head Neck Surg 1999;121:543–7CrossRefGoogle ScholarPubMed
18 Patel, NN, Hartley, BE, Howard, DJ. Management of thyroglossal tract disease after failed Sistrunk's procedure. J Laryngol Otol 2003;117:710–12Google Scholar
19 Sade, J, Rosen, G. Thyroglossal cysts and tracts. A histological and histochemical study. Ann Otol Rhinol Laryngol 1968;77:139–45Google Scholar
20 Howard, DJ, Lund, VJ. Thyroglossal ducts, cysts and sinuses: a recurrent problem. Ann R Coll Surg Engl 1986;68:137–8Google ScholarPubMed
21 Perkins, JA, Inglis, AF, Sie, KC, Manning, SC. Recurrent thyroglossal duct cysts: a 23-year experience and a new method for management. Ann Otol Rhinol Laryngol 2006;115:850–6CrossRefGoogle Scholar