Title:
The role of pre-operative infection in the recurrence of thyroglossal duct cyst
Authors:
A. Karimi Yazdi , A. A. Sazgar , B. B. Noviri , H. Mahboubi and M. Mojtahed
Institutions:
Department of Otolaryngology, Head and Neck Surgury, Tehran University of Medical Sciences, Tehran, IranF aculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran;T Research Center, Tehran University of Medical Sciences, Tehran, Iran
Keywords:
Congenital; infection; Sistrunk procedure; thyroglossal cyst
Pages:
169 - 171
Abstract:
The role of pre-operative infection in the recurrence of thyroglossal duct cyst. Objectives: To evaluate the role of pre-operative infection in thyroglossal duct cyst recurrence and post-operative complications of Sistrunk procedure. Methodology: Medical records of 55 patients undergoing thyroglossal duct cyst excision from 1998 to 2005 were reviewed. The following data was collected: age at operation, gender, surgical technique, presence and length of infection prior to operation, time interval between resolution of infection and operation, recurrence, management of recurrence, and complications. Results: Forty-two patients (76.3%) had no recurrence following Sistrunk procedure, while 13 patients (23.7%) underwent one or more additional procedures due to recurrence. Our results indicate that 61.5% (8 of 13) of those with a failed Sistrunk had pre-operative thyroglossal cyst infection that lasted more than 6 months. In 92.3% of patients with recurrence, the interval between resolution of infection and time of operation was less than one month. Conclusion: Effective treatment of thyroglossal duct cyst infection, at least one month pre-operatively, is warranted to reduce post-operative recurrence rate.
Issue:
Vol. 7, 2011, 3rd trimester


Download:
The role of pre-operative infection in the recurrence of thyroglossal duct cyst