Two-centre experience in the treatment of thyroglossal duct remnants using the modified muscle-sparing Sistrunk technique

Pupić-Bakrač, Jure; Lasić, Valentina; Matoc, L.; Knežević, P.; Skitarelić, Neven; Novaković, Josip

doi:10.1016/j.ijom.2023.01.018

Cited by 2 publications

(3 citation statements)

References 22 publications

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“…Primary cancers arising from the cyst wall are exceedingly rare, and the most common malignancy within this group is primary TDR carcinoma (1-3% of all TDRs). 14,21 Other primary cancers within SCNM (eg, primary branchiogenic carcinoma, dermoid cyst carcinoma) are typically found in case reports or review articles in the literature. 2,22,23 In contrast, SCNMets are frequently encountered, with a slight increase in their prevalence over the past few decades.…”

Section: Discussionmentioning

confidence: 99%

“…When considering malignant SCNM, the main concern is determining the tumor’s primary site. Primary cancers arising from the cyst wall are exceedingly rare, and the most common malignancy within this group is primary TDR carcinoma (1–3% of all TDRs) 14,21 . Other primary cancers within SCNM (eg, primary branchiogenic carcinoma, dermoid cyst carcinoma) are typically found in case reports or review articles in the literature 2,22,23 .…”

Section: Discussionmentioning

confidence: 99%

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Malignancy and “Violated Neck” Rates in Consecutive Cohort of 79 Adult Patients With Solitary Cystic Neck Mass—Lessons Learned and Recommendations for Clinical Practice Guidelines

Pupić-Bakrač,

Jayasekara,

Peiris

et al. 2024

Journal of Craniofacial Surgery

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Objective: The neck region is a common site for solitary cystic neck mass (SCNM) of various etiologies, including congenital, inflammatory, and neoplastic. In adults, the primary focus is excluding malignancy. The objective of this study was to retrospectively analyze the accuracy of available diagnostic technologies for the differentiation of benign and malignant SCNM in adult patients. The study aimed to develop new clinical practice guidelines for evaluating and managing SCNM. Methods: The primary predictive variables were the diagnostic utilities of fine-needle aspiration cytology (FNAC), ultrasound (U/S), multislice computed tomography, and magnetic resonance imaging. The study’s endpoint was the overall diagnostic accuracy in differentiating between benign and malignant SCNM. The final diagnosis was based on histopathology. Results: The study included 79 adult patients: 55 (69.62%) male and 24 (30.38%) female (P<0.05). The mean age at presentation was 42.1 years (range: 18–84 years). Solitary cystic neck mass was distributed in the anterior neck region in 30 (37.97%) patients and the posterolateral neck regions in 49 (62.03%) patients (P<0.05). The posterolateral neck regions had a significantly higher rate of malignant SCNM than the anterior neck region [19/49 (38.78%) versus 1/30 (3.33%)] (P<0.05). There was no statistically significant difference between the U/S+FNAC and U/S+FNAC+multislice computed tomography and/or magnetic resonance imaging groups in differentiating benign and malignant SCNM (40/42 versus 36/37, P>0.05). “Violated neck” was recorded in 2 cases. Conclusion: A systematic investigation protocol should be applied to evaluate adult patients with SCNM.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Malignancy and “Violated Neck” Rates in Consecutive Cohort of 79 Adult Patients With Solitary Cystic Neck Mass—Lessons Learned and Recommendations for Clinical Practice Guidelines

Pupić-Bakrač,

Jayasekara,

Peiris

et al. 2024

Journal of Craniofacial Surgery

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“…7 Mogućnost recidiviranja je oko 50%, ukoliko je ekstirpirana samo cista, dok pri resekciji središnjeg dijela jezične kosti stopa recidiva pada na 20%, a još više se umanjuje ekscizijom cističnoga tkiva prema bazi jezika. 1,8…”

Section: Uvodunclassified

Suprahioidna lokalizacija upaljene tireoglosalne ciste

Novaković

Perković

Penezić

2023

Med. Jadert. (Online)

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Uvod: Tireoglosalne ciste pripadaju najčešćim kongenitalnim malformacijama vrata. Nastaju zbog nepotpuna sraštavanja tireoglosalnog kanala. Predočavaju se kao otekline u središnjem dijelu vrata od korijena jezika do prsne kosti. Najčešće se dijagnosticiraju u mlađoj životnoj dobi. Lokalizirane su najčešće oko jezične kosti, a većina ih je smještena infrahioidno (65-80 %). Prikaz bolesnice: Žena, u dobi od pedeset šest godina javila se u hitnu otorinolaringološku ambulantu radi bolnosti desne strane vrata posljednjih dvanaest dana. Liječnik obiteljske medicine ordinirao je antibiotik kroz sedam dana, bol je regredirala, da bi se ponovno javila nakon nekoliko dana, te je ordiniran drugi antibiotik uz koji su tegobe perzistirale. Žalila se na oteklinu submentalno i bolno gutanje. U kliničkom statusu uočena je suprahioidna bolna oteklina, veličine 3 cm, uz bolno otvaranje usta. Učinjena je višeslojna kompjuterizirana tomografija vrata kojom je prikazana cistična tvorba iznad milohioidnog mišića. Upalni parametri su bili povišeni. Bili su prisutni i znaci okolnog celulitisa subkutanog tkiva submandibularne regije. Bolesnica je hospitalizirana, te je ordinirana parenteralna antibiotska terapija, na što je došlo do pada upalnih parametara i poboljšanja općeg stanja, te je peti dan hospitalizacije operirana. U općoj anesteziji učinjena je ekstirpacija medijalne suprahioidne ciste postupkom po Sistrunku. Bolesnica je nakon dva dana otpuštena na kućno liječenje uz peroralnu terapiju klindamicinom. Patohistološki nalaz upućivao je na upalno promijenjenu tireoglosalnu cistu. Na redovnim kontrolama otorinolaringologa, tri mjeseca nakon operacijskog zahvata, nije bilo znakova recidiva bolesti. Zaključak: Tireoglosalna cista dna usne šupljine je rijetka, osobito kod odrasle osobe u dobi od pedestšest godina. Potrebno je učiniti temeljiti klinički pregled, te diferencijalno dijagnostički razmišljati o tireoglosalnoj cisti kod bolesnika s oteklinom u području dna usne šupljine, a dijagnozu je potrebno potkrijepiti odgovarajućim dijagnostičkim metodama. Liječenje je kirurško uz empirijsku antimikrobnu terapiju. Pojava recidiva je rijetkost ukoliko je operacijski postupak proveden prema pravilima struke.

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Two-centre experience in the treatment of thyroglossal duct remnants using the modified muscle-sparing Sistrunk technique

Cited by 2 publications

References 22 publications

Malignancy and “Violated Neck” Rates in Consecutive Cohort of 79 Adult Patients With Solitary Cystic Neck Mass—Lessons Learned and Recommendations for Clinical Practice Guidelines

Malignancy and “Violated Neck” Rates in Consecutive Cohort of 79 Adult Patients With Solitary Cystic Neck Mass—Lessons Learned and Recommendations for Clinical Practice Guidelines

Suprahioidna lokalizacija upaljene tireoglosalne ciste

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