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No-Scar Transoral Thyroglossal Duct Cyst Excision in Children

Jin Pyeong Kim1, Jung Je Park1, Seung Hoon Woo1,2,3

  • 11 Department of Otolaryngology-Head and Neck Surgery, Gyeongsang National University , Jinju, Korea.

Thyroid : Official Journal of the American Thyroid Association
|May 11, 2018
PubMed

Insights

No-scar transoral thyroglossal duct cyst (TGDC) excision offers a safe and effective method for children. This technique improves thyroglossal duct identification and patient cosmetic satisfaction compared to conventional methods.

Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Surgical Innovation

Background:

  • Thyroglossal duct cysts (TGDC) are common congenital neck masses.
  • No-scar transoral TGDC excision is an emerging technique with limited pediatric outcome data.
  • Evaluating transoral TGDC excision's safety and efficacy in children is crucial.

Purpose of the Study:

  • To assess the safety and efficacy of transoral TGDC excision in pediatric patients.
  • To compare clinical outcomes between transoral and conventional TGDC excision.
  • To evaluate cosmetic satisfaction following transoral TGDC excision.

Main Methods:

  • Retrospective analysis of 44 children under 10 years old treated for TGDC.
  • Comparison of transoral TGDC excision (n=21) versus conventional excision (n=21).
  • Data collected included clinicopathologic, surgical, and 24-month follow-up information.

Main Results:

  • Transoral excision demonstrated a superior rate of thyroglossal duct identification (p<0.05).
  • Patients undergoing transoral excision reported significantly better cosmetic satisfaction (p<0.001).
  • No significant differences in overall patient or operative factors were noted between groups.

Conclusions:

  • No-scar transoral TGDC excision is a safe and effective pediatric surgical option.
  • The technique facilitates easier thyroglossal duct removal.
  • Excellent cosmetic outcomes are achievable with the transoral approach.
Abstract

Keywords:
complicationsoperationpediatricsscarthyroglossal duct cyst

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