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Thyroglossal duct surgery. What is the acceptable recurrence rate?
Asma A Alahmadi1, Osama A Bawazir, Mohannad K Rajab
1Department of Otolaryngology-Head & Neck Surgery, King Faisal Specialist Hospital & Research Centre, Jeddah, Kingdom of Saudi Arabia. E-mail. asma0alahmadi@yahoo.com.
Saudi Medical Journal
|August 14, 2020
Summary
The Sistrunk procedure is the best surgical option for thyroglossal duct cysts (TGDCs), offering a 0% recurrence rate. Pre-operative fine needle aspiration may also help prevent recurrence.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Pediatric Surgery
Background:
- Thyroglossal duct cysts (TGDCs) are common congenital neck masses.
- Surgical management of TGDCs can be complex, with varying recurrence rates.
- Multicenter experience is crucial for understanding optimal treatment strategies.
Purpose of the Study:
- To evaluate and compare surgical outcomes for TGDCs across different specialties and centers.
- To identify factors influencing recurrence and postoperative complications.
- To assess the role of fine needle aspiration in TGDC management.
Main Methods:
- Retrospective cross-sectional study of 49 TGDC cases over 11 years (2008-2019).
- Data collected from three centers in Jeddah, Saudi Arabia.
- Analysis of surgical techniques, recurrence rates, and postoperative complications.
Main Results:
- The Sistrunk procedure demonstrated a 0% recurrence rate, significantly lower than simple excision (70%).
- Higher recurrence rates correlated with increased postoperative complications.
- Patients undergoing pre-operative fine needle aspiration showed no recurrence.
Conclusions:
- The Sistrunk procedure is the gold standard for TGDC treatment, offering the highest recurrence-free interval.
- Fine needle aspiration is a valuable, less invasive tool for excluding malignancy and potentially preventing recurrence.
