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Pediatric thyroglossal duct cysts: Post-operative complications

Iris Lekkerkerker1, Ernest Lw van Heurn1, Alida Fw van der Steeg1

  • 1Paediatric Surgical Center of Amsterdam, Emma Children's Hospital AMC & VU University Medical Center, P.O.Box 22660, 1100, DD, Amsterdam, the Netherlands.

International Journal of Pediatric Otorhinolaryngology
|June 2, 2019
PubMed

Insights

Thyroglossal duct cyst (TGDC) surgery in children has a high complication rate, with recurrence and wound infection being most common. Identified risk factors did not correlate with these adverse outcomes.

Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Surgical Complications

Background:

  • Thyroglossal duct cysts (TGDCs) arise from incomplete involution of the thyroglossal duct.
  • Surgical resection via the Sistrunk procedure is the standard treatment for pediatric TGDCs.
  • Postoperative complications and their risk factors require further investigation.

Purpose of the Study:

  • To assess the severity and incidence of postoperative complications in children undergoing TGDC resection.
  • To identify potential risk factors associated with these complications.

Main Methods:

  • Retrospective review of 91 pediatric patients (<18 years) treated for TGDC between 2005-2015.
  • Utilized the Clavien-Dindo classification for grading surgical complications.
  • Univariate analysis of risk factors including age, recurrence, cyst inflammation, and surgical variables.

Main Results:

  • 26.4% of patients experienced complications, with hemorrhage and thyroid cartilage resection being most severe.
  • Recurrence and wound infection were the most frequent complications (7.7% each).
  • No significant correlation was found between pre-selected risk factors and complication occurrence.

Conclusions:

  • Pediatric thyroglossal duct cyst treatment is associated with a substantial complication rate.
  • The study did not identify specific risk factors predictive of complications following the Sistrunk procedure.
Abstract

Keywords:
ChildrenComplicationsRisk factorsSistrunk procedureThyroglossal duct cyst

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