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Sistrunk vs modified Sistrunk procedures: Does procedure type matter?

Mehmet S Arda1, Gezzer Ortega2, Ilan B Layman3

  • 1Department of Pediatric Surgery, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.

Journal of Pediatric Surgery
|April 30, 2021
PubMed
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This summary is machine-generated.

The Sistrunk (Sis) and modified Sistrunk (mSis) procedures for thyroglossal duct cyst (TDC) in children show similar low recurrence and complication rates. This study found no significant differences between the two surgical techniques for TDC management.

Area of Science:

  • Pediatric Surgery
  • Congenital Abnormalities
  • Head and Neck Surgery

Background:

  • Thyroglossal duct cyst (TDC) is the most common congenital neck mass in pediatric patients.
  • Surgical management typically involves the Sistrunk procedure.
  • A modified Sistrunk (mSis) technique omits coring the foramen cecum.

Purpose of the Study:

  • To evaluate and compare surgical outcomes of the Sistrunk (Sis) and modified Sistrunk (mSis) procedures for TDC in children.
  • To assess recurrence rates and postoperative complications associated with each surgical technique.

Main Methods:

  • Retrospective chart review of 157 pediatric patients diagnosed with TDC from 2004 to 2014.
  • Data collected included demographics, preoperative characteristics, and postoperative outcomes (complications, recurrence).
Keywords:
ChildrenRecurrence thyroglossal duct cyst and sinusSistrunk procedureSurgeryThyroglossal duct cyst and sinusThyroid

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  • Statistical analysis employed Kruskal-Wallis tests and Pearson's chi-square tests.
  • Main Results:

    • 157 patients underwent TDC excision: 52 (33%) with Sis and 105 (67%) with mSis.
    • Overall recurrence rate was 5.1% (8 cases), with no significant difference between Sis (4%) and mSis (6%).
    • Postoperative complications (swelling, seroma, infection) and need for drainage did not differ significantly between the two groups.

    Conclusions:

    • The Sistrunk and modified Sistrunk procedures demonstrate comparable efficacy in managing pediatric thyroglossal duct cysts.
    • Neither procedure showed a statistically significant difference in recurrence rates or postoperative complications.
    • Both surgical approaches are associated with low complication and recurrence rates for TDC treatment.