Thyroglossal duct cyst surgery: A ten-year single institution experience

Ross, Justin; Manteghi, Alexander; Rethy, Kimberly; Ding, James; Chennupati, Sri Kiran

doi:10.1016/j.ijporl.2017.07.033

Cited by 32 publications

(51 citation statements)

References 17 publications

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“…Ross et al. (2017) found a lower recurrence rate among otolaryngologists (9%) when compared to paediatric surgeons (23%) in 108 patients. Geller et al.…”

Section: Discussionmentioning

confidence: 99%

“…Recurrence is an important complication of TGDC surgery; previous studies have suggested recurrence rates of 9%‐14%, (Gioacchini) as well as other associations including age, sex and TGDC infection. Another limitation is a lack of details on the procedure performed and some authors have suggested that the lower TGDC recurrence rate among paediatric otolaryngologists may be due to their utilisation of the Sistrunk procedure . Other limitations include those of large database studies, including outcomes from secondary procedures and heterogeneity in data collection across different sites.…”

Section: Discussionmentioning

confidence: 99%

“…The defect consists of a fibrous cyst left by a persistent embryologic thyroglossal duct . Surgical excision may be indicated to prevent infection or cosmetic defects; the Sistrunk procedure remains the standard approach and is usually performed by an otolaryngologist or general surgeon …”

Section: Introductionmentioning

confidence: 99%

“…Patients had typically been admitted postoperatively, but there has been a recent trend towards outpatient management with studies showing equivalent outcomes. Likewise, it has been suggested that otolaryngologists have more favourable outcomes, in particular fewer recurrences, than surgeons with other training …”

Section: Introductionmentioning

confidence: 99%

“…3,4 Surgical excision may be indicated to prevent infection or cosmetic defects; the Sistrunk procedure remains the standard approach and is usually performed by an otolaryngologist or general surgeon. 3,5,6 While this procedure has existed since the 1920s, 5 the setting of this surgery has recently come under scrutiny. Patients had typically been admitted postoperatively, but there has been a recent trend towards outpatient management with studies showing equivalent outcomes.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Outpatient management and surgeon specialty for thyroglossal duct cyst excision: A retrospective analysis of 377 patients and 30‐day outcomes in the American College of Surgeons NSQIP‐P Database

Farquhar

Rawal

Masood

et al. 2018

Clinical Otolaryngology

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“…Ross et al. (2017) found a lower recurrence rate among otolaryngologists (9%) when compared to paediatric surgeons (23%) in 108 patients. Geller et al.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Outpatient management and surgeon specialty for thyroglossal duct cyst excision: A retrospective analysis of 377 patients and 30‐day outcomes in the American College of Surgeons NSQIP‐P Database

Farquhar

Rawal

Masood

et al. 2018

Clinical Otolaryngology

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Ultrasound Evaluation of Dermal Sinuses/Fistulas in Pediatric Patients

Hosokawa

Takahashi

Miyasaka

et al. 2019

J of Ultrasound Medicine

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A dermal sinus/fistula is a common condition; the relevant department should be consulted for appropriate treatment. It is important for radiologists to have adequate knowledge of these conditions to provide the correct diagnosis and recommend subsequent management. This review describes the following lesions: preauricular sinus, midline sinus of the upper lip, nasal dermoid sinus cyst, cheek fistula, first branchial cleft anomaly/sublingual branchial cleft anomaly, thyroglossal duct cyst/fistula, lateral cervical sinus/fistula, congenital dermal sinus/fistula of the anterior chest region, congenital skin sinus/fistula with a sternal cleft, and congenital prepubic sinus. On the basis of the skin orifice location and ultrasound images, radiologists can provide useful information to physicians.

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Risk‐adjusted analysis of perioperative outcomes after the Sistrunk procedure

Wynings,

Wang,

Parsa

et al. 2023

Laryngoscope Investig Oto

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ObjectivesThyroglossal duct cyst (TGDC) is the most common pediatric congenital neck mass. The Sistrunk procedure is the standard method of excision and is associated with low rates of recurrence. This study aimed to review our institution's outcomes following the Sistrunk procedure, specifically the rates of wound complications and cyst recurrence.MethodsThis was a retrospective case series of pediatric patients undergoing the Sistrunk procedure from June 2009 to April 2021.ResultsA total of 273 patients were included. Of these, 139 (53%) patients were male and 181 (66%) were white. The average age at the time of surgery was 7.1 years. The overall cyst recurrence rate was 11%. The most common wound complications were seroma (14%) and surgical site infections (SSIs) (12%). Wound complications were associated with prior history of cyst infection (odds ratio [OR] 1.97, 95% confidence interval [CI] 1.07–3.60, z‐test 2.2, p = .03). Pediatric surgery was associated with fewer wound complications (OR 0.18; 95% CI 0.05–0.6, z‐test −2.78, p = .005). However, pediatric surgery operated on fewer patients with a history of cyst infection (36% vs. 55%, p = .012). Drain placement and postoperative antibiotics did not affect rates of wound complications.ConclusionsPrior cyst infection is associated with increased rates of postoperative wound complications. Postoperative antibiotics and drain placement did not significantly affect complication rates.Level of Evidence4.

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Thyroglossal duct cyst surgery: A ten-year single institution experience

Cited by 32 publications

References 17 publications

Outpatient management and surgeon specialty for thyroglossal duct cyst excision: A retrospective analysis of 377 patients and 30‐day outcomes in the American College of Surgeons NSQIP‐P Database

Outpatient management and surgeon specialty for thyroglossal duct cyst excision: A retrospective analysis of 377 patients and 30‐day outcomes in the American College of Surgeons NSQIP‐P Database

Ultrasound Evaluation of Dermal Sinuses/Fistulas in Pediatric Patients

Risk‐adjusted analysis of perioperative outcomes after the Sistrunk procedure

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