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Thyroglossal duct remnant: seven years analysis
1National Academy Medical Sciences, Bir Hospital, Kathmandu, Nepal. snshrestha@gmail.com
JNMA; Journal of the Nepal Medical Association
|December 13, 2006
Summary
Thyroglossal duct remnant (TGDR) excision is common in pediatric patients, primarily affecting those under twenty. Histopathological confirmation is crucial, and the Sistrunk operation is recommended to minimize recurrence.
Area of Science:
- Pediatric Surgery
- Otolaryngology
- Congenital Anomalies
Background:
- Thyroglossal duct remnant (TGDR) represents the most frequent congenital cervical lesion in pediatric populations.
- Accurate diagnosis is essential as other neck conditions can mimic TGDR.
Purpose of the Study:
- To analyze the clinical and pathological findings of TGDR.
- To evaluate the surgical outcomes, including recurrence rates, following TGDR excision.
Main Methods:
- A retrospective descriptive study was conducted from April 1998 to April 2005.
- Data from 30 patients with clinically diagnosed TGDR were analyzed, with 27 confirmed histopathologically.
- Key variables included age, sex, lesion location, histopathology, surgical procedure, and outcomes.
Main Results:
- The majority of affected patients (70.38%) were under twenty years old.
- The most common site for TGDR was the midline subhyoid region (85.19%).
- The post-operative complication rate was 18.51%, and histopathological confirmation excluded three non-TGDR cases.
Conclusions:
- Histopathological confirmation is mandatory to differentiate TGDR from other cervical conditions.
- The Sistrunk operation is considered the standard surgical treatment for TGDR to minimize recurrence.
