RT Journal Article
SR Electronic
T1 Thyroglossal duct surgery. <em>What is the acceptable recurrence rate?</em>
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 878
OP 882
DO 10.15537/smj.2020.8.25169
VO 41
IS 8
A1 Alahmadi, Asma A.
A1 Bawazir, Osama A.
A1 Rajab, Mohannad K.
A1 Althobaiti, Ibtihal A.
A1 Bawazir, Abdullah O.
A1 Abi Sheffah, Firas R.
A1 Al-Tammas, Anas H.
A1 Marglani, Osama A.
A1 Heaphy, John C.
A1 Alherabi, Ameen Z.
YR 2020
UL http://smj.org.sa/content/41/8/878.abstract
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 &amp; 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&lt;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&lt;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.