Thyroglossal duct surgery. What is the acceptable recurrence rate?

To present experiences of different specialties in the treatment of thyroglossal duct cysts (TGDCs) and subsequent complications in multiple centers.  Methods: A retrospective cross-sectional study of all cases of TGDC for a period of 11 years from 2008-2019 by different departments from 3 different...

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Bibliographic Details
Published in:Saudi medical journal 2020-08, Vol.41 (8), p.878-882
Main Authors: Alahmadi, Asma A, Bawazir, Osama A, Rajab, Mohannad K, Althobaiti, Ibtihal A, Bawazir, Abdullah O, Abi Sheffah, Firas R, Al-Tammas, Anas H, Marglani, Osama A, Heaphy, John C, Alherabi, Ameen Z
Format: Article
Language:English
Subjects:
Adolescent
Biopsy, Fine-Needle
Brief Communication
Child
Child, Preschool
Cysts
Female
Humans
Infant
Male
Medical centers
Postoperative Complications - epidemiology
Recurrence
Retrospective Studies
Saudi Arabia - epidemiology
Surgery
Surgical outcomes
Surgical Procedures, Operative
Surgical techniques
Throat surgery
Thyroglossal Cyst - epidemiology
Thyroglossal Cyst - surgery
Thyroid gland
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Summary:To present experiences of different specialties in the treatment of thyroglossal duct cysts (TGDCs) and subsequent complications in multiple centers.  Methods: A retrospective cross-sectional study of all cases of TGDC for a period of 11 years from 2008-2019 by different departments from 3 different centers in Jeddah, Kingdom of Saudi Arabia (King Faisal Specialist Hospital and Research Centre, Bakhsh Hospital and International Medical Center). Results: Forty-nine patients were included. The type of surgery performed plays a significant role in recurrence (p less than 0.001). The Sistrunk procedure had a lower recurrence rate (0%) than simple excision (70%) and has showed a significantly long recurrence-free interval (p less than 0.001). Higher recurrence rates are associated with higher postoperative complications (p=0.002). Patients who underwent pre-operative fine needle aspiration did not have any recurrence during the follow-up period. Conclusion: The Sistrunk procedure is the gold standard technique with the highest recurrence-free interval rate. Fine needle aspiration could be recommended as a less invasive procedure to exclude malignancy.
ISSN:0379-5284
1658-3175
DOI:10.15537/smj.2020.8.25169