Prospective Study of Thyroglossal Cysts
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Objectives: Our study was done on 15 cases of Thyroglossal cysts during a period of three years from January 2014 to March 2017. All the cases were treated surgically by Modified Sistrunk's operation under general anaesthesia after investigating them thoroughly. A follow-up period of 6 months to 1 year was done to assess any short-term or long-term complications including recurrence. Materials And Methods: 15 Patients of Thyroglossal cysts presented to the Department of ENT, GGH, Guntur during a period of three years from January 2014 to March 2017. Of these patients, 11 were males and the remaining 4 were females. The age of the patients ranged from 1 year to 56 years. All the patients were investigated for complete blood chemistry, urine analysis, chest x-ray, ECG, Thyroid profile (serum T3, T4, TSH levels estimation), ultrasonography of the neck and FNAC of the swelling. All of them were treated by Modified Sistrunk's operation under general anesthesia. The cyst along with its tract, the central part of the body of hyoid bone and a core of tissue deep to the hyoid bone adjacent to the tract were excised. The excised cyst and its tract were sent for histopathological examination to determine its exact nature. Results: Of the 15 patients selected for our study, 11 patients were males and 4 were females. Their ages ranged from 1 year to 56 years. The cysts were located in the midline in 8 cases and in the rest of 7, the cysts were off the midline (6 were to the left and 1 to the right). They were mostly situated below the hyoid bone (14 cases). In 1 case, it was situated just above the hyoid bone. All the patients were treated surgically by the Modified Sistrunk's operation. A post-operative follow-up period of 6 months to 1 year was uneventful without any short term or long term complications or recurrence. All the cases healed well with a thin scar. Conclusion: Thyroglossal cysts are the most common midline neck masses of congenital origin and hence require proper attention. The Modified Sistrunk's operation is still the treatment of choice advised for all cases of thyroglossal cysts, especially in cases where there is a relatively rapid increase in size over a short period of time or in cases with secondary infection. A follow-up period of 6 months to 1 year showed excellent results without any complications or recurrence.
Authors and Affiliations
Dr. N. Subrahmanyam, Dr. M. Veera Kumar, Dr K Santhaiah
Keywords
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- EP ID EP250525
- DOI 10.9790/0853.1612033337
- Views 92
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