A 16-year experience in treating thyroglossal duct cysts with a “conservative” Sistrunk approach

研究成果: Article

4 引文 (Scopus)

摘要

Although Sistrunk operation is the standard method to treat thyroglossal duct cyst, the reported recurrence rates after a “classic” or “modified” Sistrunk procedure still varied from 0 to 15.8 %, indicating the existence of some technical uncertainties. While simple cystectomy has been recognized as the most important prognostic factor predicting thyroglossal duct cyst recurrence, whether other clinico-pathological parameters also affect disease recurrence has not been well studied. We retrospectively reviewed the medical records of all patients who underwent thyroglossal duct cyst surgery between June 1998 and June 2014 at our institution. Among the 180 primary patients, 160 patients received a “conservative” Sistrunk operation, while the remaining 20 patients received simple cystectomy only. Five patients (2.8 %, 5/180) had recurrence. Four of them received simple cystectomy while 1 had “conservative” Sistrunk operation. In univariable analysis, age (p = 0.02), history of previous infection (p = 0.004) and the type of resection (p = 0.001) were significantly correlated with disease recurrence. In multivariable analysis, the type of resection turned out to be the most important factor (p = 0.03) related to recurrence. In the most parsimonious model selected by backward elimination, both history of infection (p = 0.048) and the type of resection (p = 0.02) were important predictors of postoperative recurrence. Our results demonstrated that a “conservative” Sistrunk approach could provide a comparably low recurrence rate (0.6 %, 1/160) in dealing with primary thyroglossal dust cysts. Routine dissection of suprahyoid tissue may not be imperative. Overall, the type of resection and history of infection are the most important predictors of recurrence for thyroglossal duct cyst.

原文English
頁(從 - 到)1019-1025
頁數7
期刊European Archives of Oto-Rhino-Laryngology
273
發行號4
DOIs
出版狀態Published - 2016 四月 1

指紋

Thyroglossal Cyst
Recurrence
Cystectomy
Infection
Dust
Uncertainty
Medical Records
Dissection

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

引用此文

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title = "A 16-year experience in treating thyroglossal duct cysts with a “conservative” Sistrunk approach",
abstract = "Although Sistrunk operation is the standard method to treat thyroglossal duct cyst, the reported recurrence rates after a “classic” or “modified” Sistrunk procedure still varied from 0 to 15.8 {\%}, indicating the existence of some technical uncertainties. While simple cystectomy has been recognized as the most important prognostic factor predicting thyroglossal duct cyst recurrence, whether other clinico-pathological parameters also affect disease recurrence has not been well studied. We retrospectively reviewed the medical records of all patients who underwent thyroglossal duct cyst surgery between June 1998 and June 2014 at our institution. Among the 180 primary patients, 160 patients received a “conservative” Sistrunk operation, while the remaining 20 patients received simple cystectomy only. Five patients (2.8 {\%}, 5/180) had recurrence. Four of them received simple cystectomy while 1 had “conservative” Sistrunk operation. In univariable analysis, age (p = 0.02), history of previous infection (p = 0.004) and the type of resection (p = 0.001) were significantly correlated with disease recurrence. In multivariable analysis, the type of resection turned out to be the most important factor (p = 0.03) related to recurrence. In the most parsimonious model selected by backward elimination, both history of infection (p = 0.048) and the type of resection (p = 0.02) were important predictors of postoperative recurrence. Our results demonstrated that a “conservative” Sistrunk approach could provide a comparably low recurrence rate (0.6 {\%}, 1/160) in dealing with primary thyroglossal dust cysts. Routine dissection of suprahyoid tissue may not be imperative. Overall, the type of resection and history of infection are the most important predictors of recurrence for thyroglossal duct cyst.",
author = "Zhu, {Yuan Shin} and Chung-Ta Lee and Chun-Yen Ou and Jiunn-Liang Wu and Wen-Yuan Chao and Sen-Tien Tsai and Sheen-Yie Fang and Cheng-Chih Huang and Wei-Ting Lee and Chang, {Jeffrey S.} and Jenn-Ren Hsiao",
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T1 - A 16-year experience in treating thyroglossal duct cysts with a “conservative” Sistrunk approach

AU - Zhu, Yuan Shin

AU - Lee, Chung-Ta

AU - Ou, Chun-Yen

AU - Wu, Jiunn-Liang

AU - Chao, Wen-Yuan

AU - Tsai, Sen-Tien

AU - Fang, Sheen-Yie

AU - Huang, Cheng-Chih

AU - Lee, Wei-Ting

AU - Chang, Jeffrey S.

AU - Hsiao, Jenn-Ren

PY - 2016/4/1

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