Presentation , Management and Outcome of Thyroglossal Duct Cysts in Adult and Pediatric Populations : A 14-Year Single Center Experience

Hassan Al-Thani; Ayman El-Menyar; Maryam Al-Sulaiti; Jamela El-Mabrok; Khairi Hajaji; Hesham Elgohary; Mohammad Asim; Ibrahim Taha; Abdelhakem Tabeb

doi:10.5001/omj.2016.54

Article Details

Presentation , Management and Outcome of Thyroglossal Duct Cysts in Adult and Pediatric Populations : A 14-Year Single Center Experience

Authors:

Hassan Al-Thani | Ayman El-Menyar | Maryam Al-Sulaiti | Jamela El-Mabrok | Khairi Hajaji | Hesham Elgohary | Mohammad Asim | Ibrahim Taha | Abdelhakem Tabeb

Publisher:

Oman Medical Specialty Board

Main Topics:

Medicine

Journal:

Oman Medical Journal 2016 Vol.31 Issue 4, pp.276-283

Document Type:

Article

Publication Date:

7/2016

Document Language:

English

Document ID (Org No.):

89428

Frequency:

Bi-Monthly

eISSN:

20705204

pISSN:

1999768X

DOI:

10.5001/omj.2016.54

Descriptors:

Keywords:

Abstract:

 Objectives: A thyroglossal duct cyst (TDC) is a frequent congenital midline anomaly ofthe neck that usually manifests during the first decade of life. We aimed to describe thepresentation, management, and outcome of TDC in pediatric and adult cases. Methods:A retrospective observational analysis was conducted for all patients diagnosed andtreated for TDC between 2000 and 2014 in a single center in Qatar. Data includedpatients’ demographics, presentations, preoperative investigations, anesthesia type,histopathological findings, surgical management, recurrences, and complications.Results: We identified 102 patients, of which 57% were males. The mean age of patientswas 20.2±15.6 years. A bimodal distribution of TDC has been observed, which peakedbetween the ages of 6–13 years and at ≥19 years. The preoperative evaluation mainlyincludes ultrasonography (66%), thyroid function test (44%), and fine-needle aspirationcytology (10%). The median size of the cyst was 25 (2–60) mm. Patients mainly presentedwith an asymptomatic midline neck mass at or below the hyoid bone (82%), followedby fistula (9%), infection (2%), and dysphagia (2%). Eighty-nine cases were identifiedpreoperatively as TDC. The histopathological findings confirmed TDC with hyoid bonein 61 cases, and TDC alone in 38 cases. Eighty patients underwent the Sistrunk procedurewhile excision of TDC alone was observed in 18 cases. Five cases of recurrent diseasewere also treated. Adults had a greater median cyst size (30 (9–60) vs. 22 (2–55) mm;p = 0.005) and required prolonged operation time (69 (1–169) vs. 32.5 (1–140) mins;p = 0.004) compared to the pediatric group. Conclusion: The occurrence of TDC showsa bimodal age distribution. Preoperative evaluation and time for surgery vary whereasclinical presentations, surgical management, and postoperative outcomes are comparableamong adult and pediatric groups. Ultrasonography is the preferred diagnostic modality,and the Sistrunk procedure remains the primary choice of treatment.

Article Details

Presentation , Management and Outcome of Thyroglossal Duct Cysts in Adult and Pediatric Populations : A 14-Year Single Center Experience

Authors:

Hassan Al-Thani | Ayman El-Menyar | Maryam Al-Sulaiti | Jamela El-Mabrok | Khairi Hajaji | Hesham Elgohary | Mohammad Asim | Ibrahim Taha | Abdelhakem Tabeb

Publisher:

Oman Medical Specialty Board

Main Topics:

Medicine

Journal:

Oman Medical Journal 2016 Vol.31 Issue 4, pp.276-283

Document Type:

Article

Publication Date:

7/2016

Document Language:

English

Document ID (Org No.):

89428

Frequency:

Bi-Monthly

eISSN:

20705204

pISSN:

1999768X

DOI:

10.5001/omj.2016.54

Descriptors:

THYROGLOSSAL DUCT

NECK

MEDICAL TREATMENT

PATIENTS

Thyroglossal Duct Cyst

Pediatrics

Adults

Sistrunk , Neck

Issues

Article Details

Authors: Hassan Al-Thani | Ayman El-Menyar | Maryam Al-Sulaiti | Jamela El-Mabrok | Khairi Hajaji | Hesham Elgohary | Mohammad Asim | Ibrahim Taha | Abdelhakem Tabeb

Publisher: Oman Medical Specialty Board

Main Topics: Medicine

Journal: Oman Medical Journal 2016 Vol.31 Issue 4, pp.276-283

Document Type: Article

Publication Date: 7/2016

Document Language: English

Document ID (Org No.): 89428

Frequency: Bi-Monthly

eISSN: 20705204

pISSN: 1999768X

DOI: 10.5001/omj.2016.54

Descriptors:

Issues

Authors:

Hassan Al-Thani | Ayman El-Menyar | Maryam Al-Sulaiti | Jamela El-Mabrok | Khairi Hajaji | Hesham Elgohary | Mohammad Asim | Ibrahim Taha | Abdelhakem Tabeb

Publisher:

Oman Medical Specialty Board

Main Topics:

Medicine

Journal:

Oman Medical Journal 2016 Vol.31 Issue 4, pp.276-283

Document Type:

Article

Publication Date:

7/2016

Document Language:

English

Document ID (Org No.):

89428

Frequency:

Bi-Monthly

eISSN:

20705204

pISSN:

1999768X

DOI:

10.5001/omj.2016.54