ORIGINAL RESEARCH
Thyroglossal Duct Cyst and Fistula: A Single Center Experience
Tiroglossal Duktus Kisti ve Fistülü: Tek Merkez Deneyimi
Received Date : 10 Feb 2023
Accepted Date : 24 Apr 2023
Available Online : 03 May 2023
Gökhan TOPTAŞa, Musa Alper BATIa, Ömer BAYIRa, Şevket AKSOYa, Latif AKANa, Güleser SAYLAMa
aEtlik Şehir Hastanesi, Kulak Burun Boğaz Hastalıkları Kliniği, Ankara, Türkiye
Doi: 10.24179/kbbbbc.2023-96079 - Makale Dili: TR
KBB ve BBC Dergisi. 2023;31(3):140-4
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: The aim of this study is to present the literature
by retrospectively reviewing demographic screening, data with
data and findings related to recurrence of patients who underwent
surgery with thyroglossal duct cyst (TDC) and fistula. Material and
Methods: The reasons for admission, physical examination and diagnosis
methods, preoperative thyroid function tests, pathology results,
recurrence and complications after surgical treatment of patients who
were operated on in our clinic with the pre-diagnosis of TDC between
2012 and 2022 were reviewed retrospectively. Patients who had their
first surgery in a different center, who underwent revision surgery in our
center, and who had a history of neck surgery were excluded from the
study. Results: A total of 79 patients, 49 (62.1%) male and 30 (37.9%)
female, with a mean age of 26 ±15 (range: 7-73) were included in the
study. Thirty (37.9%) of the patients were pediatric (<18 years old), 49
(62.1%) were adults. Swelling in the midline of the neck that moved
while swallowing was the most common complaint (87.7%). All patients
underwent Sistrunk operation. Recurrence developed in 4 (5%)
patients during the follow-up period and revision surgery was performed.
Postoperative pathology result was consistent with papillary
thyroid carcinoma in only one (1.2%) patient, and postoperative pathology
result was reported as TDC in all other patients. Conclusion: TDC
should be included in the differential diagnosis of all ages in patients
presenting with the complaint of a mass in the midline of the neck.
Surgery is the only and effective treatment method for TDC. The recurrence
rate is very low after Sistrunk surgery performed with the appropriate
procedure. It should be kept in mind that TDC shows a very
low rate of malignant transformation, and further investigation and
treatment should not be avoided when suspected.
Keywords: Head and neck neoplasms; Sistrunk procedure; thyroglossal duct cyst
ÖZET
Amaç: Bu çalışmanın amacı; tiroglossal duktus kisti (TDK) ve
fistülü tanısı ile cerrahi uygulanmış hastaların retrospektif olarak demografik
verilerini, hastalığa özgü verileri ve nüks ile ilgili bulgularını
inceleyerek literatür eşliğinde sunmaktır. Gereç ve Yöntemler:
Kliniğimizde TDK tanısı ile 2012-2022 yılları arasında ameliyat edilen
hastaların başvuru nedeni, fizik muayene ve yapılan tanı yöntemlerinin
bulguları, preoperatif tiroid fonksiyon testleri, histopatolojik sonuçları,
cerrahi tedavi sonrası nüks ve komplikasyonları retrospektif olarak incelendi.
İlk cerrahileri farklı merkezde olan, merkezimizde revizyon
cerrahileri yapılan ve daha önce boyun cerrahisi öyküsü olan hastalar
çalışma dışı bırakıldı. Bulgular: Çalışmaya yaş ortalaması 26±15 (yaş
aralığı: 7-73) olan, 49’u (%62,1) erkek, 30’u (%37,9) kadın toplam 79
hasta dâhil edildi. Hastalarıın 30’u (%37,9) pediatrik (<18yaş), 49’u
(%62,1) ise erişkindi. Boyun orta hatta yutkunurken hareket eden şişlik
en sık başvuru şikâyeti idi (%87,7). Tüm hastalara Sistrunk operasyonu
uygulandı. Hastalardan 4’ünde (%5) takip sürecinde nüks gelişti
ve revizyon cerrahi uygulandı. Hastalardan sadece birinde (%1,2) postoperatif
patoloji sonucu papiller tiroid karsinomu ile uyumlu olup,
diğer tüm hastalarda postoperatif patoloji sonucu TDK olarak raporlandı.
Sonuç: Boyun orta hatta kitle şikâyeti ile başvuran hastalarda
her yaşta ayırıcı tanıda TDK yer almalıdır. Cerrahi TDK’nin tek ve etkili
bir tedavi yöntemidir. Uygun prosedürle uygulanan Sistrunk ameliyatı
sonrasında nüks oranı oldukça düşüktür. TDK’nin oldukça düşük
oranda malign transformasyon gösterdiği akılda tutulmalı, şüphe duyulduğunda
ileri tetkik ve tedaviden kaçınılmamalıdır.
Anahtar Kelimeler: Baş ve boyun neoplazileri; Sistrunk prosedürü; tiroglossal kanal kisti
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