Thyroglossal duct remnant surgery: A reliable,reproducible approach to the suprahyoid region |
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| Institution: | 1. Department of Oral and Maxillofacial Surgery, Hunan Provincial People''s Hospital and The First Affiliated Hospital of Hunan Normal University, Hunan Normal University, Changsha, PR China;2. Xin-Cheng Hospital of Gu-Zhang County, Hunan Province, PR China;3. Department Family and Preventive Medicine, School of Medicine, University of Utah, UT, USA;4. Department of Epidemiology and Public Health, University of Maryland School of Medicine, University of Maryland, Baltimore, MD, USA;5. Division of International, Hunan Normal University, Changsha, PR China;1. The Children''s Hospital at Westmead, Westmead, NSW, Australia;2. Nottingham University Hospitals, Nottingham, United Kingdom;3. University of Sydney, Discipline of Paediatrics and Child Health, Darlington, NSW, Australia;1. Université des Sciences et Techniques de Masuku, BP: 943 Franceville, Gabon;2. Université de Lorraine, 34 cours Léopold 54000 Nancy, France;1. School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, United States;2. Facial Plastic and Reconstructive Surgery, Division of Otolaryngology – Head and Neck Surgery, Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, United States;3. West Texas Craniofacial Center of Excellence, Lubbock, TX, United States;1. Department of Forensic Medicine, Kyoto University Graduate School of Medicine, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501, Japan;2. Department of Pediatrics, Japanese Red Cross Kyoto Daini Hospital, Haruobi-cho 355-5, Kamigyo-ku, Kyoto 602-8026, Japan |
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| Abstract: | BackgroundRecurrence of thyroglossal duct remnants remains a clinical problem despite the success of the Sistrunk procedure. Inadequate excision of disease in the suprahyoid region significantly impacts disease recurrence. The primary aim of this study is to describe and present the author's experience with a simple, reliable, and reproducible approach to the suprahyoid area in a Sistrunk procedure.MethodsA retrospective review of the surgical management of thyroglossal duct remnants by a single surgeon at the Children's Hospital Los Angeles over a 16-year period was performed. Demographic and clinical data including disease recurrence and other complications were collected. Recurrence rates before and after the consistent application of a modified Sistrunk procedure were compared.Results94 patients (54% female and 46% male; mean age 5.2 years) met the inclusion criteria for this study. Overall recurrence rate following a Sistrunk procedure was 2.2%; 11.1% prior to 2004 and 0% after 2004, following consistent implementation of the surgical approach to the suprahyoid region as detailed in this study. Complications were minor and mean follow-up was 5.4 months.ConclusionsThe author has described a simple, reproducible, and reliable approach to the suprahyoid area in a Sistrunk procedure that limits incomplete excision with minimal risk for complications. This approach to the suprahyoid region should be considered for routine use in the management of both primary and revision thyroglossal duct remnants. |
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| Keywords: | Sistrunk procedure Revision Sistrunk procedure Thyroglossal duct cyst and sinus Recurrence thyroglossal duct cyst and sinus Suprahyoid region |
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