The clinical relevance of certain observations on the histology of the thyroglossal tract

Soucy, Pierre; Penning, John

doi:10.1016/s0022-3468(84)80091-3

Cited by 48 publications

(36 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Cysts are usually approximately 2.4 cm in diameter, but cysts 10 cm in diameter have been recorded. 47,48 They are lined with respiratory or squamous epithelium or both or, if infection has occurred, with granulation tissue or scar tissue ( Fig. 11-6).…”

Section: In 2004mentioning

confidence: 99%

Cysts of the Neck, Unknown Primary Tumor, and Neck Dissection

Luna¹,

Pfaltz²

2009

Diagnostic Surgical Pathology of the Head and Neck

View full text Add to dashboard Cite

Section: In 2004mentioning

confidence: 99%

Cysts of the Neck, Unknown Primary Tumor, and Neck Dissection

Luna¹,

Pfaltz²

2009

Diagnostic Surgical Pathology of the Head and Neck

View full text Add to dashboard Cite

“…In fact, a wide core of muscles surrounding the duct has to be removed to guarantee complete excision. 9 Recommendations regarding the depth of the "core-out procedure" vary from going into the oral cavity, 10 to stopping short of it. 11 We carried out the dissection cranially up to the foramen cecum without penetrating the oral cavity.…”

Section: Discussionmentioning

confidence: 99%

Thyroglossal Duct Remnants

Al-Arfaj¹

1994

Annals of Saudi Medicine

View full text Add to dashboard Cite

Case records of 33 patients treated for thyroglossal duct lesions at the King Fahd Hospital of the University, AlKhobar between 1982G and 1992G were reviewed. There were 22 males and 11 females, their ages ranging between one and 35 years. Sixteen patients presented as cysts and 17 as sinuses. All cases were diagnosed clinically. However, ultrasound was needed to confirm the diagnosis in five cases. Twenty-nine patients had undergone Sistrunk's procedure, while four had simple excision of the cyst. Postoperative complications included four wound infections, hoarseness due to edema of the vocal cords in one and recurrence in another case. The latter case and all four cases with recurrence referred to us for further management have undergone "Sistrunk's operation". All of them were cured by a single surgical intervention performed by surgeons trained in this field and with experience of Sistrunk's operation. Thyroglossal sinuses and infected cysts are associated with a higher rate of wound infection and recurrence. Excision is, therefore, indicated soon after the condition is diagnosed to minimize above-mentioned complications and to prevent malignant change, however rare. Ann Saudi Med 1994;14(2):136-138. Thyroglossal Duct Remnants. 1994; 14(2): 136-138 Thyroglossal duct remnant is not an uncommon surgical condition. It presents as a midline cyst or as an acquired sinus at any level from the tongue to the thyroid isthmus. The majority are in the hyoid region, but some may be as low as the suprasternal notch.1,2 Despite the common knowledge about its embryology, lack of clinical experience often results in misdiagnosis and inappropriate surgical treatment 3,4 with a high rate of recurrence and, at times, disfigurement.1 Occasionally the adjoining thyroid tissue develops thyroiditis, hyperthyroidism or carcinomatous change. 5,6 The purpose of this paper is to analyze the case records of patients seen in the last decade at the King Fahd Hospital of the University, Al-Khobar, Saudi Arabia and to possibly draw conclusions with a view to improve the outcome of treatment. Material and MethodsCase records of 33 consecutive patients admitted for thyroglossal duct lesions at the King Fahd Hospital of the University, Al-Khobar between 1982G and 1992G were reviewed. Four of these patients had been initially treated in other hospitals and referred to us because of recurrence. All charts were reviewed regarding age, sex, presentation, diagnostic modalities, operative procedures, histological findings and outcome. ResultsThere were 22 males (66.6%) and 11 females (33.3%), their ages ranging between one and 35 years. Twentythree patients (69.7%) were under 14 years of age.The diagnosis was made clinically in all cases; ultrasonic confirmation was needed in five; three times in adults to exclude ectopic thyroid tissue and two times in children below the age of two years to confirm the clinical diagnosis. The abnormality was associated with congenital laryngomalacia in one, and with multicystic goiter in another patient. The le...

show abstract

“…The true prevalence of thyroglossal duct remnants is approximately 7 %, but only a fraction of these will become symptomatic and require medical treatment [3]. The remnants consist of ductal epithelium and can maintain secretory activity [6,7]. A thyroglossal duct cyst can form as the opening of the tract becomes blocked and secretory fluid accumulates.…”

Section: Biology and Epidemiologymentioning

confidence: 99%

“…43.7). On microscopic sections thyroglossal duct remnants frequently have branching tracts, thus aggressive dissection of the cyst and tract from surrounding tissue should be avoided for fear of leaving small accessory tracts, which can lead to recurrence and further surgery [6]. During cyst removal, no part of the airway should be entered since TGDC are confined to the neck and lie anterior to the larynx and trachea.…”

Section: Surgicalmentioning

confidence: 99%

Thyroglossal Duct Cysts

Jones

2013

Pediatric Head and Neck Tumors

View full text Add to dashboard Cite

The clinical relevance of certain observations on the histology of the thyroglossal tract

Cited by 48 publications

References 3 publications

Cysts of the Neck, Unknown Primary Tumor, and Neck Dissection

Cysts of the Neck, Unknown Primary Tumor, and Neck Dissection

Thyroglossal Duct Remnants

Thyroglossal Duct Cysts

Contact Info

Product

Resources

About