ISSN: 1300 - 6525 E-ISSN: 2149 - 0880
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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
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.
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.
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