THYROGLOSSAL DUCT CYSTS SURGERY OUTCOMES

Aynur Aliyeva Aynur Aliyeva, Ziya Karimov Ziya Karimov
{"title":"THYROGLOSSAL DUCT CYSTS SURGERY OUTCOMES","authors":"Aynur Aliyeva Aynur Aliyeva, Ziya Karimov Ziya Karimov","doi":"10.55858/ijimh0201(04)2023-18","DOIUrl":null,"url":null,"abstract":"Objective\nThyroglossal duct cysts are the most common congenital neck mass in the midline of the neck. Cystic formations develop due to the partial or complete lack of obliteration of the thyroglossal duct. It may lead to transformation to malignancy, although rarely. Our study aims to discuss the outcomes, examination findings, clinical features, and treatment methods of 51 patients operated on for thyroglossal duct cysts to contribute to the literature.\n\nMethods\nThe 51 cases that underwent surgery (Sistrunk, Cystectomy, Thyroidectomy) with a preliminary diagnosis of thyroglossal duct cyst in ENT and HNS clinics were evaluated retrospectively. The patient's sociodemographic data, main complaints, examination findings, diagnostic methods, surgical techniques, recurrence and complication rates after treatment, and pathology results were analyzed in this study.\n\nResults\nOf the 51 patients, 35 (69%) were adults, and 16 (31%) were children. The most common reason 40 (78%) for admission was swelling in the midline of the neck, less commonly 8 (16%) swelling under the chin, 4 (8%) of patients with an average follow-up of 28 months (max 32; min 8; SD 3 months) were performed revision operations. Surgical treatment has consisted of the Sistrunk procedure (n = 47; 92%), cystectomy (n = 4; 8%), or thyroidectomy (n = 1; 2%). Papillary thyroid carcinoma was diagnosed in 2 (4%) patients, and medullary thyroid carcinoma was in 1 (2%) in our cases. They were no significant differences in gender and age, sociodemographics data.\n\nConclusion\nThyroglossal duct cysts should be considered in the differential diagnosis of patients presenting with swelling in the midline of the neck. Sistrunk operation, a safe surgical procedure with the least recurrence rate and a low risk of complications, is recommended as surgical treatment.\nKeywords: Thyroglossal duct cyst, Midline neck mass, Sistrunk operation","PeriodicalId":204122,"journal":{"name":"INTERNATIONAL JOURNAL OF INNOVATIVE MEDICINE & HEALTHCARE","volume":"21 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"INTERNATIONAL JOURNAL OF INNOVATIVE MEDICINE & HEALTHCARE","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.55858/ijimh0201(04)2023-18","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Objective Thyroglossal duct cysts are the most common congenital neck mass in the midline of the neck. Cystic formations develop due to the partial or complete lack of obliteration of the thyroglossal duct. It may lead to transformation to malignancy, although rarely. Our study aims to discuss the outcomes, examination findings, clinical features, and treatment methods of 51 patients operated on for thyroglossal duct cysts to contribute to the literature. Methods The 51 cases that underwent surgery (Sistrunk, Cystectomy, Thyroidectomy) with a preliminary diagnosis of thyroglossal duct cyst in ENT and HNS clinics were evaluated retrospectively. The patient's sociodemographic data, main complaints, examination findings, diagnostic methods, surgical techniques, recurrence and complication rates after treatment, and pathology results were analyzed in this study. Results Of the 51 patients, 35 (69%) were adults, and 16 (31%) were children. The most common reason 40 (78%) for admission was swelling in the midline of the neck, less commonly 8 (16%) swelling under the chin, 4 (8%) of patients with an average follow-up of 28 months (max 32; min 8; SD 3 months) were performed revision operations. Surgical treatment has consisted of the Sistrunk procedure (n = 47; 92%), cystectomy (n = 4; 8%), or thyroidectomy (n = 1; 2%). Papillary thyroid carcinoma was diagnosed in 2 (4%) patients, and medullary thyroid carcinoma was in 1 (2%) in our cases. They were no significant differences in gender and age, sociodemographics data. Conclusion Thyroglossal duct cysts should be considered in the differential diagnosis of patients presenting with swelling in the midline of the neck. Sistrunk operation, a safe surgical procedure with the least recurrence rate and a low risk of complications, is recommended as surgical treatment. Keywords: Thyroglossal duct cyst, Midline neck mass, Sistrunk operation
甲状舌管囊肿手术结果
目的:甲状舌管囊肿是颈中线最常见的先天性颈部肿块。囊性形成是由于部分或完全缺乏甲状舌管阻塞而形成的。它可能导致转化为恶性肿瘤,虽然很少。我们的研究旨在讨论51例甲状腺舌管囊肿的手术结果、检查结果、临床特点和治疗方法,以增加文献。方法回顾性分析51例初步诊断为甲状舌管囊肿的耳鼻喉科和鼻咽喉科门诊行甲状舌管囊肿手术(膀胱切除术、甲状腺切除术)的病例。本研究分析患者的社会人口学资料、主要主诉、检查结果、诊断方法、手术技术、治疗后复发率和并发症发生率以及病理结果。结果51例患者中,成人35例(69%),儿童16例(31%)。入院最常见的原因是颈中线肿胀40例(78%),较少见的原因是颏下肿胀8例(16%),平均随访28个月(最多32例;8分钟;SD 3个月)均行翻修手术。手术治疗包括Sistrunk手术(n = 47;92%),膀胱切除术(n = 4;8%)或甲状腺切除术(n = 1;2%)。2例(4%)诊断为甲状腺乳头状癌,1例(2%)诊断为甲状腺髓样癌。他们在性别、年龄和社会人口统计数据上没有显著差异。结论甲状腺舌管囊肿在以颈部中线肿大为表现的患者鉴别诊断中应予以考虑。Sistrunk手术是一种安全、复发率低、并发症风险低的外科治疗方法。关键词:甲状舌管囊肿,颈部中线肿块,Sistrunk手术
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信