American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 29, Issue 2 , Pages 83-87, March 2008

Thyroglossal duct cyst: a comparison between children and adults

Presented at the 8th Taiwan-Japan conference in Otolaryngology, Head and Neck Surgery, Taipei, Taiwan, December 16 to 18, 2005.

  • Shih-Tsang Lin, MD

      Affiliations

    • Department of Otolaryngology, National Taiwan University Hospital, Taipei 100, Taiwan
    • ,
  • Fen-Yu Tseng, MD

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan
    • ,
  • Chuan-Jan Hsu, MD

      Affiliations

    • Department of Otolaryngology, National Taiwan University Hospital, Taipei 100, Taiwan
    • ,
  • Te-Huei Yeh, MD

      Affiliations

    • Department of Otolaryngology, National Taiwan University Hospital, Taipei 100, Taiwan
    • ,
  • Yuh-Shyang Chen, MD

      Affiliations

    • Department of Otolaryngology, National Taiwan University Hospital, Taipei 100, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Otolaryngology, National Taiwan University Hospital, Taipei 100, Taiwan. Tel.: +886 2 23123456x5216; fax: +886 2 2341 0905.

Received 14 December 2006

Abstract 

Purpose

The purpose of the study was to evaluate the differences in the clinical characteristics of thyroglossal duct cysts (TGDC) between children and adults and to find a method for optimizing management of TGDC.

Materials and methods

This study consisted of a retrospective chart review of patients with a diagnosis of TGDC from 1997 to 2002. All records were reviewed for age and sex, season of first visit, diagnostic methods, sizes and locations of cysts, surgical management, and recurrences. Differences between children and adults were analyzed.

Results

A total of 84 patients (32 children, 52 adults) were recruited. There were no significant differences in sex in either group. Compared with children, more adult patients had left-sided and infrahyoid cyst locations. The cyst sizes were significantly larger in adults. In this review, 90.4% of adults and 75% of children underwent a Sistrunk operation, whereas the others underwent cyst excision. There was a total of 5 recurrences, 2 in children and 3 in adults.

Conclusion

Although the recurrence rates between children and adults and between different surgical managements were not significantly different, a Sistrunk procedure is recommended as the main operation of choice, especially in adults in whom a more extended tract resection should be performed.

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PII: S0196-0709(07)00025-7

doi:10.1016/j.amjoto.2007.02.003

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 29, Issue 2 , Pages 83-87, March 2008

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