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Thyroglossal Duct Cysts and Fistulas: Retrospective Analysis of 42 Cases

Yıl 2011, Cilt: 1 Sayı: 2, 42 - 45, 01.06.2011

Sema Koç İsmail Önder Uysal Levent Gürbüzler İbrahim Aladağ Ahmet Eyibilen Ceyhun Aksakal

Öz

Introduction: The purpose of this study is to discuss clinical properties, diagnosis and treatment of patients, who were operated due to thyroglossal duct cyst (TDC), in the light of relevant studies in the literature. Instruments and Methods Files of 44 patients, diagnosed with TDC in our clinic, were retrospectively investigated. Information on their age, their gender, their clinical properties, location of the lesion, whether or not it is fistulized, imaging methods required during pre-operative period, treatment way, post-operative recurrence and complications and histopathological diagnosis were registered. Results 15 (34%) women and 29 (66%) men were included in the study. The age is between 5 and 72 and average age is 24±18. All the patients had neck midline complaints. All the patients underwent Sistrunk operation. Only 3 (0.7%) patients had postoperative infection. In accordance with histopathological results, 42 (95%) patients had thyroglossal cyst and 2 patients (5%) had papillary carcinoma. No recurrence was observed for all the patients at the end of 18-month follow-up period. Conclusion: During differential diagnosis of midline neck masses, thyroglossal duct cysts should be considered. For the treatment of the disease, the Sistrunk operation is a gold standard. Thanks to early diagnosis and treatment, having a successful operation and decreasing the risk of developing complication should not be forgotten.

Anahtar Kelimeler

thyroglossal duct cyst histopathology Sistrunk operation

Kaynakça

  • Al-Khateeb TH, Al Zoubi F. Congenital neck masses: a descriptive retrospective study of 252 cases. J Oral Maxillofac Surg 2007;65:2242-7.
  • Todd NW. Common congenital anomalies of the neck. Embryology and surgical anatomy. Surg Clin North Am 1993;73:599-610.
  • Wadsworth DT, Siegel MJ. Thyroglossal duct cysts: variability of sonographic findings. AJR Am J Roentgenol 1994;163:1475-7.
  • Lin ST, Tseng FY, Hsu CJ, et al. Thyroglossal duct cyst: a comparison between children and adults. Am J Otolaryngol 2008;29:83-7.
  • Shahin A, Burroughs FH, Kirby JP, et al. Thyroglossal duct cyst: a cytopathologic study of 26 cases. Diagn Cytopathol 2005;33:365- 9.
  • Allard RH. The thyroglossal cyst. Head Neck Surg 1982;5:134-46.
  • Mondin V, Ferlito A, Muzzi E, et al. Thyroglossal duct cyst: personal experience and literature 2008;35:11-25. Auris Nasus
  • Larynx 7. Ahuja AT, Wong KT, King AD, et al. Imaging for thyroglossal duct cyst: the bare essentials. Clin Radiol 2005;60:141-8.
  • Weldon BC, Krafcik JM. Breath-holding-like spells in an infant: an unusual presentation of lingual thyroglossal duct cyst. J Pediatr Surg 2000;35:1381-4.
  • Davenport M. ABC of general surgery in children. Lumps and swellings of the head and neck. BMJ 1996;312:368–71.
  • Karkos PD, Spencer MG, Lee M, et al. Cervical cystic hygroma/lymphangioma: an acquired idiopathic late presentation. J Laryngol Otol 2005;119:561-3.
  • Ahuja AT, Wong KT, King AD, et al. Imaging for thyroglossal duct cyst: the bare essentials. Clin Radiol 2005;60:141-8.
  • Pryor SG, Lewis JE, WeaverAL, et al. Pediatric dermoid cysts of the head and neck. Otolaryngol Head Neck Surg 2005;132:938-42. 13. Johnston R, Wei JL, Maddalozzo J. Intra- thyroid thyroglossal duct cyst as a differential diagnosis of thyroid nodule. Int J Pediatr Otorhinolaryngol 2003;67:1027-30.
  • Yazıcı ZM, Kaya H, Şirin A, et al. Dil Kökü Tiroglossal Duktus Kisti Eksizyonu: Olgu Sunumu. Bakırköy Tıp Dergisi 2009;5:80-2.
  • Gupta P, Maddalozzo J. Preoperative sonography in presumed thyroglossal duct cysts. Arch Otolaryngol Head Neck Surg 2001;127:200-22.
  • Radkowski D, Arnold J, Healy GB, et al. Thyroglossal duct remnants. Preoperative evaluation and management. Arch Otolaryngol Head Neck Surg 1991;117:1378- 81.
  • Horisawa M, Sasaki J, Niinomi N, Yamamoto T, Ito T. Thyroglossal duct remnant penetrating the hyoid bone—a case report. J Pediatr Surg 1998;33:725-6.
  • Sistrunk WE. The surgical treatment of cysts of the thyroglossal tract. Ann Surg 1920;71:121-4.
  • Patel NN, Hartley BE, Howard DJ. Management of thyroglossal tract disease after failed Sistrunk’s procedure. J Laryngol Otol 2003;117:710–2.
  • Kennedy TL, Whitaker M, Wadih G. Thyroglossal
  • approach 1975;108:1154-8. carcinoma:a rational to
  • Laryngoscope 21. Maddalozzo J, Venkatesan TK, Gupta P. Complications associated with the Sistrunk procedure. Laryngoscope 2001;111:119-23.
  • Kaselas Ch, Tsikopoulos G, Chortis Ch, et al. Thyroglossal duct cyst's inflammation. When do we operate? Pediatr Surg Int 2005;21:991-3.

Tiroglossal Duktus Kist ve Fistülleri: 44 Olgunun Retrospektif Analizi

Yıl 2011, Cilt: 1 Sayı: 2, 42 - 45, 01.06.2011

Sema Koç İsmail Önder Uysal Levent Gürbüzler İbrahim Aladağ Ahmet Eyibilen Ceyhun Aksakal

Öz

Giriş: Bu makalenin amacı tiroglossal duktus kisti (TDK) nedeniyle ameliyat edilen hastaların klinik özellikleri ile tanı ve tedavisini ilgili literatür ısığında tartışmaktır. Gereç ve Yöntem: Kliniğimizde TDK tanısı alan 44 hastanın dosyası geriye dönük olarak incelendi. Hastaların yaşı, cinsiyeti, klinik özellikleri, lezyonun boyundaki yerleşim yeri ve fistülize olup olmadığı, ameliyat öncesi istenen görüntüleme yöntemleri, tedavi şekli, cerrahi sonrası nüks, komplikasyonlar ve histopatolojik tanılar kaydedildi. Bulgular Çalışmaya 15 (% 34) kadın, 29 (% 66) erkek hasta dahil edildi. Yaş aralığı 5-72 olup, yaş ortalaması 24±18 idi. Hastaların hepsinde boyun orta hattında kitle şikayeti vardı. Hastaların 18 (% 41)’inde fistül gelişimi sonucu aralıklı akıntı şikayeti mevcuttu. Bütün hastalara Sistrunk ameliyatı yapıldı. Sadece 3 (% 0.7) hastada ameliyat sonrası dönemde enfeksiyon gelişti. Hastalarımızın 42 (% 95)’sinin histopatoloji sonucu tiroglossal duktus kisti, 2 (% 5)’sinin ise TDK’dan gelişen papiller karsinom idi. Hiçbir hastamızda 18 aylık takip sonunda rekürrens görülmedi. Sonuç: Boyun orta hattı kitlelerinin ayırıcı tanısında TDK düşünülmelidir. Hastalığın tedavisinde Sistrunk ameliyatı altın standarttır. Erken tanı ve tedavi ile ameliyat başarısı ve komplikasyon gelişme riskinin azalacağı unutulmamalıdır.

Anahtar Kelimeler

Tiroglossal duktus kisti histopatoloji Sistrunk ameliyatı

Kaynakça

  • Al-Khateeb TH, Al Zoubi F. Congenital neck masses: a descriptive retrospective study of 252 cases. J Oral Maxillofac Surg 2007;65:2242-7.
  • Todd NW. Common congenital anomalies of the neck. Embryology and surgical anatomy. Surg Clin North Am 1993;73:599-610.
  • Wadsworth DT, Siegel MJ. Thyroglossal duct cysts: variability of sonographic findings. AJR Am J Roentgenol 1994;163:1475-7.
  • Lin ST, Tseng FY, Hsu CJ, et al. Thyroglossal duct cyst: a comparison between children and adults. Am J Otolaryngol 2008;29:83-7.
  • Shahin A, Burroughs FH, Kirby JP, et al. Thyroglossal duct cyst: a cytopathologic study of 26 cases. Diagn Cytopathol 2005;33:365- 9.
  • Allard RH. The thyroglossal cyst. Head Neck Surg 1982;5:134-46.
  • Mondin V, Ferlito A, Muzzi E, et al. Thyroglossal duct cyst: personal experience and literature 2008;35:11-25. Auris Nasus
  • Larynx 7. Ahuja AT, Wong KT, King AD, et al. Imaging for thyroglossal duct cyst: the bare essentials. Clin Radiol 2005;60:141-8.
  • Weldon BC, Krafcik JM. Breath-holding-like spells in an infant: an unusual presentation of lingual thyroglossal duct cyst. J Pediatr Surg 2000;35:1381-4.
  • Davenport M. ABC of general surgery in children. Lumps and swellings of the head and neck. BMJ 1996;312:368–71.
  • Karkos PD, Spencer MG, Lee M, et al. Cervical cystic hygroma/lymphangioma: an acquired idiopathic late presentation. J Laryngol Otol 2005;119:561-3.
  • Ahuja AT, Wong KT, King AD, et al. Imaging for thyroglossal duct cyst: the bare essentials. Clin Radiol 2005;60:141-8.
  • Pryor SG, Lewis JE, WeaverAL, et al. Pediatric dermoid cysts of the head and neck. Otolaryngol Head Neck Surg 2005;132:938-42. 13. Johnston R, Wei JL, Maddalozzo J. Intra- thyroid thyroglossal duct cyst as a differential diagnosis of thyroid nodule. Int J Pediatr Otorhinolaryngol 2003;67:1027-30.
  • Yazıcı ZM, Kaya H, Şirin A, et al. Dil Kökü Tiroglossal Duktus Kisti Eksizyonu: Olgu Sunumu. Bakırköy Tıp Dergisi 2009;5:80-2.
  • Gupta P, Maddalozzo J. Preoperative sonography in presumed thyroglossal duct cysts. Arch Otolaryngol Head Neck Surg 2001;127:200-22.
  • Radkowski D, Arnold J, Healy GB, et al. Thyroglossal duct remnants. Preoperative evaluation and management. Arch Otolaryngol Head Neck Surg 1991;117:1378- 81.
  • Horisawa M, Sasaki J, Niinomi N, Yamamoto T, Ito T. Thyroglossal duct remnant penetrating the hyoid bone—a case report. J Pediatr Surg 1998;33:725-6.
  • Sistrunk WE. The surgical treatment of cysts of the thyroglossal tract. Ann Surg 1920;71:121-4.
  • Patel NN, Hartley BE, Howard DJ. Management of thyroglossal tract disease after failed Sistrunk’s procedure. J Laryngol Otol 2003;117:710–2.
  • Kennedy TL, Whitaker M, Wadih G. Thyroglossal
  • approach 1975;108:1154-8. carcinoma:a rational to
  • Laryngoscope 21. Maddalozzo J, Venkatesan TK, Gupta P. Complications associated with the Sistrunk procedure. Laryngoscope 2001;111:119-23.
  • Kaselas Ch, Tsikopoulos G, Chortis Ch, et al. Thyroglossal duct cyst's inflammation. When do we operate? Pediatr Surg Int 2005;21:991-3.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Orjinal Çalışma
Yazarlar

Sema Koç Bu kişi benim

İsmail Önder Uysal Bu kişi benim

Levent Gürbüzler Bu kişi benim

İbrahim Aladağ Bu kişi benim

Ahmet Eyibilen Bu kişi benim

Ceyhun Aksakal Bu kişi benim

Yayımlanma Tarihi 1 Haziran 2011
Yayımlandığı Sayı Yıl 2011 Cilt: 1 Sayı: 2

Kaynak Göster

APA Koç, S., Uysal, İ. Ö., Gürbüzler, L., Aladağ, İ., vd. (2011). Tiroglossal Duktus Kist ve Fistülleri: 44 Olgunun Retrospektif Analizi. Çağdaş Tıp Dergisi, 1(2), 42-45.
AMA Koç S, Uysal İÖ, Gürbüzler L, Aladağ İ, Eyibilen A, Aksakal C. Tiroglossal Duktus Kist ve Fistülleri: 44 Olgunun Retrospektif Analizi. J Contemp Med. Haziran 2011;1(2):42-45.
Chicago Koç, Sema, İsmail Önder Uysal, Levent Gürbüzler, İbrahim Aladağ, Ahmet Eyibilen, ve Ceyhun Aksakal. “Tiroglossal Duktus Kist Ve Fistülleri: 44 Olgunun Retrospektif Analizi”. Çağdaş Tıp Dergisi 1, sy. 2 (Haziran 2011): 42-45.
EndNote Koç S, Uysal İÖ, Gürbüzler L, Aladağ İ, Eyibilen A, Aksakal C (01 Haziran 2011) Tiroglossal Duktus Kist ve Fistülleri: 44 Olgunun Retrospektif Analizi. Çağdaş Tıp Dergisi 1 2 42–45.
IEEE S. Koç, İ. Ö. Uysal, L. Gürbüzler, İ. Aladağ, A. Eyibilen, ve C. Aksakal, “Tiroglossal Duktus Kist ve Fistülleri: 44 Olgunun Retrospektif Analizi”, J Contemp Med, c. 1, sy. 2, ss. 42–45, 2011.
ISNAD Koç, Sema vd. “Tiroglossal Duktus Kist Ve Fistülleri: 44 Olgunun Retrospektif Analizi”. Çağdaş Tıp Dergisi 1/2 (Haziran 2011), 42-45.
JAMA Koç S, Uysal İÖ, Gürbüzler L, Aladağ İ, Eyibilen A, Aksakal C. Tiroglossal Duktus Kist ve Fistülleri: 44 Olgunun Retrospektif Analizi. J Contemp Med. 2011;1:42–45.
MLA Koç, Sema vd. “Tiroglossal Duktus Kist Ve Fistülleri: 44 Olgunun Retrospektif Analizi”. Çağdaş Tıp Dergisi, c. 1, sy. 2, 2011, ss. 42-45.
Vancouver Koç S, Uysal İÖ, Gürbüzler L, Aladağ İ, Eyibilen A, Aksakal C. Tiroglossal Duktus Kist ve Fistülleri: 44 Olgunun Retrospektif Analizi. J Contemp Med. 2011;1(2):42-5.