Document Detail

Thyroglossal duct: a review of 55 cases.
MedLine Citation:
PMID:  11893130     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Thyroglossal duct remnants are the most common midline neck masses in childhood but can be found in adults and the elderly. Sistrunk's procedure, with dissection of the tract and removal of the hyoid bone, is accepted as the main operation of choice. STUDY DESIGN: Fifty-five patients were treated from January 1994 to November 2000, and these were studied. There were 29 men and 26 women, with a median age of 17 years. Diagnosis was clinical, with 13 cases of fistula and 42 of cyst. Size varied from 1.0 to 4.0 cm, with an average of 2.5 cm. Six patients presented with local abscess. RESULTS: All the patients underwent Sistrunk's procedure. Serum collection occurred in three patients as complication. In one patient papillary carcinoma was identified in the cyst. Total thyroidectomy was not performed. There was only one recurrence, managed with a second operation. CONCLUSIONS: We concluded that the diagnosis of thyroglossal duct is clinical. Sistrunk's procedure carries low rates of complications (9.08%) and recurrence (1.82%). Antibiotic therapy is avoidable as a rule and hospital stay is short.
Rogério A Dedivitis; Daniela L Camargo; Gisele L Peixoto; Leonardo Weissman; André V Guimarães
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Surgeons     Volume:  194     ISSN:  1072-7515     ISO Abbreviation:  J. Am. Coll. Surg.     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-03-14     Completed Date:  2002-03-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9431305     Medline TA:  J Am Coll Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  274-7     Citation Subset:  AIM; IM    
Service of Head and Neck Surgery, Ana Costa Hospital, Santos, Brazil.
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MeSH Terms
Antibiotic Prophylaxis
Carcinoma, Papillary / complications,  surgery
Thyroglossal Cyst* / epidemiology,  surgery,  ultrasonography
Thyroid Neoplasms / complications,  surgery

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