International Journal of Pediatric Otorhinolaryngology
Volume 67, Issue 1 , Pages 19-23, January 2003

Risk factors for thyroglossal duct remnants after Sistrunk procedure in a pediatric population☆

  • R. Marianowski

      Affiliations

    • Department of Otorhinolaryngology, CHU Morvan, 5 avenue Foch, 29200 Brest, France
    • Corresponding Author InformationCorresponding author. Tel.: +33-2-9822-3001; fax: +33-2-9822-3380
    • ,
  • J.L. Ait Amer

      Affiliations

    • Department of Pediatric Otorhinolaryngology, Hôpital Necker-Enfants Malades, Paris, France
    • ,
  • M.-P. Morisseau-Durand

      Affiliations

    • Department of Pediatric Otorhinolaryngology, Hôpital Necker-Enfants Malades, Paris, France
    • ,
  • Y. Manach

      Affiliations

    • Department of Pediatric Otorhinolaryngology, Hôpital Necker-Enfants Malades, Paris, France
    • ,
  • S. Rassi

      Affiliations

    • Department of Pediatric Otorhinolaryngology, Hôpital Necker-Enfants Malades, Paris, France

Received 11 April 2002; received in revised form 13 August 2002; accepted 14 August 2002.

Abstract 

To evaluate recurrence after surgery for thyroglossal duct cyst (TDC) we performed a retrospective chart review. Seventy four patients between 0.5 and 8.5 years of age presenting with a midline neck cyst underwent a Sistrunk procedure for a preoperative diagnosis of TDC. Fifty-seven had histologically confirmed TDC (mean age of the population: 4±1.5 years, mean follow-up: 6 years and 8 months). Recurrence occurred in 15% of the cases of histologically confirmed TDC. Four individual risk factors have been identified: number of infection before surgery [more than 2 episodes (P<0.05)]; preliminary surgical procedure (P<0.05); age [less than 2 years (P<0.05)] and multicystic lesion on histopathology (P<0.01). The two first factors being correlated, the risk of relapse might be lowered by a wide excision performed before any infection in children over 2 years.

Keywords: Thyroglossal duct cyst, Sistrunk procedure, Recurrence rate

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

☆ A former version of this paper has been orally presented at the ASPO meeting of May 2000 held in Orlando, Florida.

PII: S0165-5876(02)00287-2

International Journal of Pediatric Otorhinolaryngology
Volume 67, Issue 1 , Pages 19-23, January 2003

Article Tools

* Image Usage & Resolution