Thyroglossal Duct Remnants: A Comparison in the Presentation and Management Between Children and Adults.

Adults Children Sistrunk’s operation Thyroglossal duct remnants (TGDRs) Yadav’s incision

Journal

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India
ISSN: 2231-3796
Titre abrégé: Indian J Otolaryngol Head Neck Surg
Pays: India
ID NLM: 9422551

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 21 05 2019
accepted: 27 09 2019
entrez: 20 6 2020
pubmed: 20 6 2020
medline: 20 6 2020
Statut: ppublish

Résumé

Seventy one patients (43 children and 28 adults) of thyroglossal duct remnants (TGDRs) presented at a tertiary care institute from January 2001 to September 2017 were retrospectively analysed. The mean age of presentation was 7.15 years in children and 26.85 years in adults. The male to female ratio was 1.9:1 among children and 1.8:1 among adults. The most common presentation in children was a thyroglossal fistula (53.48%) whereas it was a painless cystic neck swelling (89.29%) in adults. All the children underwent a Sistrunk's operation whereas 78.57% of the adult patients underwent simple excision of cyst/fistula using the modified incision (Yadav's incision). Recurrence developed in one child and one adult patient who underwent Sistrunk's operation and none in the modified incision, these cases were treated with a second stage procedure. In conclusion, compared with adults, more children presented with a discharging thyroglossal fistula. The thyroglossal duct remnants can be managed successfully by simple excision in adults.

Identifiants

pubmed: 32551275
doi: 10.1007/s12070-019-01742-7
pii: 1742
pmc: PMC7276452
doi:

Types de publication

Journal Article

Langues

eng

Pagination

184-186

Informations de copyright

© Association of Otolaryngologists of India 2019.

Déclaration de conflit d'intérêts

Conflict of interestThe authors declare that they have no conflict of interest.

Références

J Am Coll Surg. 2002 Mar;194(3):274-7
pubmed: 11893130
Indian J Surg. 2011 Jan;73(1):28-31
pubmed: 22211034
Int J Pediatr Otorhinolaryngol. 2003 Dec;67(12):1285-90
pubmed: 14643470
Head Neck Pathol. 2016 Dec;10(4):465-474
pubmed: 27161104
Am J Otolaryngol. 2008 Mar-Apr;29(2):83-7
pubmed: 18314017
Clin Radiol. 2000 Oct;55(10):770-4
pubmed: 11052878
Laryngoscope. 2009 Dec;119(12):2345-7
pubmed: 19718750
Diagn Cytopathol. 2005 Dec;33(6):365-9
pubmed: 16299737
Surg Radiol Anat. 2013 Dec;35(10):875-81
pubmed: 23689821

Auteurs

K N Rattan (KN)

Department of Pediatric Surgery, Pt. B.D. Sharma PGIMS, Rohtak, Haryana India.

Vijay Kumar Kalra (VK)

Department of Otorhinolaryngology, Pt. B.D. Sharma PGIMS, Rohtak, Haryana India.
Department of ENT, Pt. B.D. Sharma PGIMS, Rohtak, Haryana 124001 India.

Samar Pal Singh Yadav (SPS)

Department of Otorhinolaryngology, Pt. B.D. Sharma PGIMS, Rohtak, Haryana India.

Aarushi Vashist (A)

Department of Otorhinolaryngology, Pt. B.D. Sharma PGIMS, Rohtak, Haryana India.

Swati Vashisth (S)

Department of Otorhinolaryngology, Pt. B.D. Sharma PGIMS, Rohtak, Haryana India.

Classifications MeSH