PT  - JOURNAL ARTICLE
AU  - Alahmadi, Asma A.
AU  - Bawazir, Osama A.
AU  - Rajab, Mohannad K.
AU  - Althobaiti, Ibtihal A.
AU  - Bawazir, Abdullah O.
AU  - Abi Sheffah, Firas R.
AU  - Al-Tammas, Anas H.
AU  - Marglani, Osama A.
AU  - Heaphy, John C.
AU  - Alherabi, Ameen Z.
TI  - Thyroglossal duct surgery. <em>What is the acceptable recurrence rate?</em>
AID  - 10.15537/smj.2020.8.25169
DP  - 2020 Aug 01
TA  - Saudi Medical Journal
PG  - 878--882
VI  - 41
IP  - 8
4099  - http://smj.org.sa/content/41/8/878.short
4100  - http://smj.org.sa/content/41/8/878.full
SO  - Saudi Med J2020 Aug 01; 41
AB  - Objectives: To present experiences of different specialties in the treatment of thyroglossal duct cysts (TGDCs) and subsequent complications in multiple centers.Methods: A retrospective cross-sectional study of all cases of TGDC for a period of 11 years from 2008-2019 by different departments from 3 different centers in Jeddah, Kingdom of Saudi Arabia (King Faisal Specialist Hospital & Research Centre, Bakhsh Hospital and International Medical Center).Results: Forty-nine patients were included. The type of surgery performed plays a significant role in recurrence (p<0.001). The Sistrunk procedure had a lower recurrence rate (0%) than simple excision (70%) and has showed a significantly long recurrence-free interval (p<0.001). Higher recurrence rates are associated with higher postoperative complications (p=0.002). Patients who underwent pre-operative fine needle aspiration did not have any recurrence during the follow-up period.Conclusion: The Sistrunk procedure is the gold standard technique with the highest recurrence-free interval rate. Fine needle aspiration could be recommended as a less invasive procedure to exclude malignancy.