Skip to main content
Log in

A Decade of Experience of Management of Thyroglossal Duct Cyst in a Tertiary Care Hospital: Differentiation Between Children and Adults

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Variations in thyroglossal duct cysts (TGDCs) between children and adult are mentioned very little in literature. The lesion mostly found in children but adult population also possesses this anomaly. The aim of this study was to determine the differences in clinical presentations and surgical outcomes of TGDC between children and adults. A retrospective chart review of all patients with TGDCs managed in our hospital from July 2004 to June 2014. All records were reviewed for age, sex, location of cyst in neck and with relation to hyoid bone, size, postoperative complication and recurrence rates. Differences between children and adults were assessed. A total of 39 patients (21 children and 18 adults) were treated for TGDC. Of the pediatric group, 71.4% were male and 28.5% were female, whereas 72.2% of the adults were male and 27.7% were female. Adults were more likely to develop other complaints like neck pain, dysphagia and dyspnea. Position was almost similar in both age groups with midline and infrahyoid location while laterality was seen in adult only. Size of Cyst was found to be larger in adults. The recurrence and post operative complication rates between children and adults were not significantly different. TGDC has male predominance. Clinical presentations were almost similar in both age groups. Although lateral deviation, increase size of cyst and recurrences were seen in adults only, Sistrunk procedure is recommended as a safe and standard surgical treatment in both age groups.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Shahin A, Burroughs FH, Kirby JP et al (2005) Thyroglossal duct cyst: a cytopathologic study of 26 cases. Diagn Cytopathol 33:365–369

    Article  PubMed  Google Scholar 

  2. Gorlin RJ, Goldman HM, Hurt W (1972) Thoma’s oral pathology. J Periodontol 43:575–577

    CAS  PubMed  Google Scholar 

  3. Dedivitis RA, Camargo DL, Peixoto GL et al (2002) Thyroglossal duct: a review of 55 cases. J Am Coll Surg 194:274–277

    Article  PubMed  Google Scholar 

  4. Hsieh YY, Hsueh S, Hsueh C et al (2003) Pathological analysis of congenital cervical cysts in children: 20 years of experience at Chang Gung Memorial Hospital. Chang Gung Med J 26:107–113

    PubMed  Google Scholar 

  5. Macdonald DM (1974) Thyroglossal cyst and fistula. Int J Oral Surg 3:342–346

    Article  CAS  PubMed  Google Scholar 

  6. Lin ST, Tseng FY, Hsu CJ et al (2008) Thyroglossal duct cyst: a comparison between children and adults. Am J Otolaryngol 29:83–87

    Article  PubMed  Google Scholar 

  7. Turkyilmaz Z, Sonmez K, Karabulut R et al (2004) Management of thyroglossal duct cysts in children. Pediatr Int 46:77–80

    Article  PubMed  Google Scholar 

  8. Athow AC, Fagg NLK, Drake DP (1989) Management of thyroglossal cysts in children. Br J Surg 76:811–814

    Article  CAS  PubMed  Google Scholar 

  9. Bennett KG, Organ CH, Williams GR (1986) Is the treatment for thyroglossal duct cysts too extensive? Am J Surg 152:602–605

    Article  CAS  PubMed  Google Scholar 

  10. Al-Khateeb TH, Al Zoubi F (2007) Congenital neck masses: a descriptive retrospective study of 252 cases. J Oral Maxillofac Surg 65:2242–2247

    Article  PubMed  Google Scholar 

  11. Allard RH (1982) The thyroglossal cyst. Head Neck Surg 5:134–146

    Article  CAS  PubMed  Google Scholar 

  12. Brousseau VJ, Solares CA, Xu M et al (2003) Thyroglossal duct cysts: presentation and management in children versus adults. Int J Pediatr Otorhinolaryngol 67:1285–1290

    Article  PubMed  Google Scholar 

  13. Ahuja AT, King AD, King W et al (1999) Thyroglossal duct cysts: sonographic appearances in adults. AJNR Am J Neuroradiol 20:579–582

    CAS  PubMed  Google Scholar 

  14. Davenport M (1996) ABC of general surgery in children. Lumps and swellings of the head and neck. BMJ 312:368–371

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Boswell WC, Zoller M, Williams JS et al (1994) Thyroglossal duct carcinoma. Am Surg 60:650–655

    CAS  PubMed  Google Scholar 

  16. Samara C, Bechrakis I, Kavadias S et al (2001) Thyroglossal duct cyst carcinoma: case report and review of the literature, with emphasis on CT findings. Neuroradiology 43:647–649

    Article  CAS  PubMed  Google Scholar 

  17. Wagner G, Medina JE (2004) Excision of thyroglossal duct cyst: the Sistrunk procedure. Oper Tech Otolaryngol 15:220–223

    Article  Google Scholar 

  18. Ren W, Zhi K, Zhao L et al (2011) Presentations and management of thyroglossal duct cyst in children versus adults: a review of 106 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 111:e1–e6

    Article  Google Scholar 

  19. Maddalozzo J, Venkatesan TK, Gupta P (2001) Complications associated with the Sistrunk procedure. Laryngoscope 111:119–123

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

First & foremost, I would like to thank ALMIGHTY ALLAH for his unconditional guidance and wisdom as I make my research. Finally, I sincerely thank to my parents, wife and daughters for their love, support and encouragement.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shakeel Uz Zaman.

Ethics declarations

Conflict of interest

None of the authors of this paper has a financial or personal relationship with other people or organizations that could inappropriately influence or bias the content of the paper.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zaman, S.U., Ikram, M., Awan, M.S. et al. A Decade of Experience of Management of Thyroglossal Duct Cyst in a Tertiary Care Hospital: Differentiation Between Children and Adults. Indian J Otolaryngol Head Neck Surg 69, 97–101 (2017). https://doi.org/10.1007/s12070-016-1037-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-016-1037-6

Keywords

Navigation