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Wide anterior neck dissection for management of recurrent thyroglossal duct cysts in adults

Published online by Cambridge University Press:  04 August 2016

L M O'Neil ,
D A Gunaratne ,
A T Cheng  and
F Riffat
L M O'Neil*
Affiliation:
Department of Surgery, Blacktown Hospital, Sydney, Australia Sydney Medical School, University of Sydney, Sydney, Australia
D A Gunaratne
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, Sydney, Australia
A T Cheng
Affiliation:
Sydney Medical School, University of Sydney, Sydney, Australia Department of Otolaryngology, Head and Neck Surgery, Children's Hospital at Westmead, Sydney, Australia Discipline of Child Health and Paediatrics, University of Sydney, Sydney, Australia
F Riffat
Affiliation:
Sydney Medical School, University of Sydney, Sydney, Australia Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, Sydney, Australia Crown Princess Mary Cancer Centre, Westmead Hospital, Sydney, Australia
*
Address for correspondence: Dr Luke O'Neil, Department of Surgery, Blacktown Hospital, 18 Blacktown Road, Blacktown, NSW 2148, Australia Fax:+61 298 937 440 E-mail: lm.oneil3@gmail.com
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Abstract

Objective:

Thyroglossal duct cyst recurrence following resection is attributed to anatomical variability and residual thyroglossal ducts. In adults, thyroglossal duct cyst recurrence is extremely rare and a surgical solution is yet to be well explored. This paper describes our approach to the management of recurrent thyroglossal duct cysts and sinuses in adults using a wide anterior neck dissection.

Method:

A retrospective review was performed to identify adults who underwent a wide anterior neck dissection for recurrent thyroglossal duct cyst management between 1 January 2009 and 1 January 2015.

Results:

Six males and one female were included in the series (mean age, 26.4 ± 10.9 years). Recurrence occurred at a mean of 18 ± 9.8 months following primary surgical management (3 patients underwent cystectomy and 4 had a Sistrunk procedure). All patients subsequently underwent wide anterior neck dissection; there was no further recurrence over the 12-month average follow-up period.

Conclusion:

This paper describes a wide anterior neck dissection technique for the management of recurrent thyroglossal duct cysts or sinuses in adults; this approach addresses the variable anatomy of the thyroglossal duct and is associated with minimal morbidity.

Keywords

Thyroglossal CystRecurrenceAdultNeck Dissection
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Supplement S4 , July 2016 , pp. S41 - S44
Copyright
Copyright © JLO (1984) Limited 2016 

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