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Management of thyroglossal tract disease after failed Sistrunk’s procedure

Published online by Cambridge University Press:  08 March 2006

N. N. Patel ,
B. E. J. Hartley  and
D. J. Howard
N. N. Patel
Affiliation:
The Hospital for Sick Children, Great Ormond Street, London, UK.
B. E. J. Hartley
Affiliation:
The North Thames Deanery, The Department of Otolaryngology, London, UK.
D. J. Howard
Affiliation:
The Institute of Laryngology and Otology, London, UK.
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Abstract

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Sistrunk’s procedure for thyroglossal duct remnants has a very high success rate, there remains the occasional patient, however, that will have recurrent disease despite a competently performed operation. Applied anatomy and embryology proffer a solution to this problem. Extending the Sistrunk operation, with an anterior wide local excision remaining within normal tissue, enables removal of the entire thyroglossal tract remnant.

A retrospective case note review was conducted to study our experience using this extended procedure to treat patients with thyroglossal tract disease that had recurred after a previous Sistrunk’s operation.

Six patients aged from five to 33 years were included in the study. There was one recurrence and the complication rate was comparable to the standard operation.

It was concluded that a wide local excision is a valuable extension of the Sistrunk operation for the management of recurrent disease.

Keywords

Thyroglossal CystThyroglossal Duct CystSurgical ProceduresOperative
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 117 , Issue 9 , September 2003 , pp. 710 - 712
Copyright
© Royal Society of Medicine Press Limited 2003