Recurrences after thyroglossal duct cyst surgery: Results in 207 consecutive cases and review of the literature

Daan Rohof; Jimmie Honings; Henricus J Theunisse; Henrieke W Schutte; Frank J A van den Hoogen; Guido B van den Broek; Robert P Takes; Marc H W A Wijnen; Henri A M Marres

doi:10.1002/hed.23817

Recurrences after thyroglossal duct cyst surgery: Results in 207 consecutive cases and review of the literature

Daan Rohof
, Jimmie Honings
, Henricus J Theunisse
, Henrieke W Schutte
, Frank J A van den Hoogen
, Guido B van den Broek
, Robert P Takes
, Marc H W A Wijnen
, Henri A M Marres

Research output: Contribution to journal › Review article › peer-review

69 Citations (Scopus)

Abstract

BACKGROUND: A thyroglossal duct cyst is the most common form of congenital anomaly in the neck. Surgical removal is very effective. However, in some cases, a cyst recurs. The purpose of this study was to identify factors that predispose to recurrence of a thyroglossal duct cyst.

METHODS: A retrospective study was conducted of consecutive patients who underwent surgical resection for histologically confirmed thyroglossal duct cysts between 1998 and 2013 in a tertiary referral center.

RESULTS: Two hundred seven patients were included. The overall recurrence rate was 9.7%. The most important factor predicting recurrence was the type of resection: recurrence rate was 5.3% after the Sistrunk procedure, and 55.6% after plain excision (p < .001). The only other factor that was significantly associated with chance of recurrence was postoperative infection.

CONCLUSION: The Sistrunk procedure is the treatment of choice for thyroglossal duct cysts because it yields low recurrence and morbidity. Postoperative infections, rather than preoperative infections, are associated with recurrence.

Original language	English
Pages (from-to)	1699-704
Number of pages	6
Journal	Head & neck
Volume	37
Issue number	12
DOIs	https://doi.org/10.1002/hed.23817
Publication status	Published - Jul 2014
Externally published	Yes

Keywords

Adolescent
Adult
Aged
Child
Female
Hospitals, University
Humans
Infant
Infant, Newborn
Male
Middle Aged
Netherlands/epidemiology
Otorhinolaryngologic Surgical Procedures
Recurrence
Retrospective Studies
Risk Factors
Thyroglossal Cyst/epidemiology
Thyroidectomy
Treatment Outcome

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10.1002/hed.23817

Cite this

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title = "Recurrences after thyroglossal duct cyst surgery: Results in 207 consecutive cases and review of the literature",

abstract = "BACKGROUND: A thyroglossal duct cyst is the most common form of congenital anomaly in the neck. Surgical removal is very effective. However, in some cases, a cyst recurs. The purpose of this study was to identify factors that predispose to recurrence of a thyroglossal duct cyst.METHODS: A retrospective study was conducted of consecutive patients who underwent surgical resection for histologically confirmed thyroglossal duct cysts between 1998 and 2013 in a tertiary referral center.RESULTS: Two hundred seven patients were included. The overall recurrence rate was 9.7\%. The most important factor predicting recurrence was the type of resection: recurrence rate was 5.3\% after the Sistrunk procedure, and 55.6\% after plain excision (p < .001). The only other factor that was significantly associated with chance of recurrence was postoperative infection.CONCLUSION: The Sistrunk procedure is the treatment of choice for thyroglossal duct cysts because it yields low recurrence and morbidity. Postoperative infections, rather than preoperative infections, are associated with recurrence.",

keywords = "Adolescent, Adult, Aged, Child, Female, Hospitals, University, Humans, Infant, Infant, Newborn, Male, Middle Aged, Netherlands/epidemiology, Otorhinolaryngologic Surgical Procedures, Recurrence, Retrospective Studies, Risk Factors, Thyroglossal Cyst/epidemiology, Thyroidectomy, Treatment Outcome",

author = "Daan Rohof and Jimmie Honings and Theunisse, \{Henricus J\} and Schutte, \{Henrieke W\} and \{van den Hoogen\}, \{Frank J A\} and \{van den Broek\}, \{Guido B\} and Takes, \{Robert P\} and Wijnen, \{Marc H W A\} and Marres, \{Henri A M\}",

note = "{\textcopyright} 2014 Wiley Periodicals, Inc.",

year = "2014",

month = jul,

doi = "10.1002/hed.23817",

language = "English",

volume = "37",

pages = "1699--704",

journal = "Head \& neck",

issn = "1043-3074",

publisher = "John Wiley \& Sons Inc.",

number = "12",

}

TY - JOUR

T1 - Recurrences after thyroglossal duct cyst surgery

T2 - Results in 207 consecutive cases and review of the literature

AU - Rohof, Daan

AU - Honings, Jimmie

AU - Theunisse, Henricus J

AU - Schutte, Henrieke W

AU - van den Hoogen, Frank J A

AU - van den Broek, Guido B

AU - Takes, Robert P

AU - Wijnen, Marc H W A

AU - Marres, Henri A M

PY - 2014/7

Y1 - 2014/7

N2 - BACKGROUND: A thyroglossal duct cyst is the most common form of congenital anomaly in the neck. Surgical removal is very effective. However, in some cases, a cyst recurs. The purpose of this study was to identify factors that predispose to recurrence of a thyroglossal duct cyst.METHODS: A retrospective study was conducted of consecutive patients who underwent surgical resection for histologically confirmed thyroglossal duct cysts between 1998 and 2013 in a tertiary referral center.RESULTS: Two hundred seven patients were included. The overall recurrence rate was 9.7%. The most important factor predicting recurrence was the type of resection: recurrence rate was 5.3% after the Sistrunk procedure, and 55.6% after plain excision (p < .001). The only other factor that was significantly associated with chance of recurrence was postoperative infection.CONCLUSION: The Sistrunk procedure is the treatment of choice for thyroglossal duct cysts because it yields low recurrence and morbidity. Postoperative infections, rather than preoperative infections, are associated with recurrence.

AB - BACKGROUND: A thyroglossal duct cyst is the most common form of congenital anomaly in the neck. Surgical removal is very effective. However, in some cases, a cyst recurs. The purpose of this study was to identify factors that predispose to recurrence of a thyroglossal duct cyst.METHODS: A retrospective study was conducted of consecutive patients who underwent surgical resection for histologically confirmed thyroglossal duct cysts between 1998 and 2013 in a tertiary referral center.RESULTS: Two hundred seven patients were included. The overall recurrence rate was 9.7%. The most important factor predicting recurrence was the type of resection: recurrence rate was 5.3% after the Sistrunk procedure, and 55.6% after plain excision (p < .001). The only other factor that was significantly associated with chance of recurrence was postoperative infection.CONCLUSION: The Sistrunk procedure is the treatment of choice for thyroglossal duct cysts because it yields low recurrence and morbidity. Postoperative infections, rather than preoperative infections, are associated with recurrence.

KW - Adolescent

KW - Adult

KW - Aged

KW - Child

KW - Female

KW - Hospitals, University

KW - Humans

KW - Infant

KW - Infant, Newborn

KW - Male

KW - Middle Aged

KW - Netherlands/epidemiology

KW - Otorhinolaryngologic Surgical Procedures

KW - Recurrence

KW - Retrospective Studies

KW - Risk Factors

KW - Thyroglossal Cyst/epidemiology

KW - Thyroidectomy

KW - Treatment Outcome

UR - https://www.scopus.com/pages/publications/85000126664

U2 - 10.1002/hed.23817

DO - 10.1002/hed.23817

M3 - Review article

C2 - 24985922

SN - 1043-3074

VL - 37

SP - 1699

EP - 1704

JO - Head & neck

JF - Head & neck

IS - 12

ER -

Recurrences after thyroglossal duct cyst surgery: Results in 207 consecutive cases and review of the literature

Abstract

Keywords

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