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

Onderzoeksoutput: Bijdrage aan tijdschrift › Artikel recenseren › peer review

64 Citaten (Scopus)

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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.

Originele taal-2	Engels
Pagina's (van-tot)	1699-704
Aantal pagina's	6
Tijdschrift	Head & neck
Volume	37
Nummer van het tijdschrift	12
DOI's	https://doi.org/10.1002/hed.23817
Status	Gepubliceerd - jul. 2014
Extern gepubliceerd	Ja

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10.1002/hed.23817

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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\}",

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year = "2014",

month = jul,

doi = "10.1002/hed.23817",

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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

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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

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