Abstract

SANCHEZ, Gabriel  and  CABRERA, Elkin. Resection of thyroglossal cyst with preservation of the hyoid bone. rev. colomb. cir. [online]. 2014, vol.29, n.1, pp.12-17. ISSN 2011-7582.

Introduction: Thyroglossal duct cyst is the most common congenital anomaly of the neck, with an overall incidence of 7%. The typical presentation is a mass in the midline between the foramen cecum and the thyroid gland, which moves with swallowing or protrusion of the tongue. Traditionally it has been recommended the removal of the cyst by the Sistrunk procedure. The authors describe a modified surgical technique that preserves the hyoid bone. The aim of our study was to evaluate the rate of perioperative complications and recurrences after this modified surgical procedure. Materials and methods: We conducted a retrospective analysis of a cohort patients undergoing resection of thyroglossal duct cyst with the modified surgical procedure between March 2003 and March 2011. Surgery was performed by a head and neck surgeon of Foundation Cardioinfantil, Bogotá. Results: 43 patients who met the inclusion criteria were included in the study. Median follow-up was 11 months and the rate of complications was 6.9% (n = 3). There were 2 foreign body granulomas and one mucocele, which was considered a recurrence (2.3%). Discussion: We did not find an increase in the rate of perioperative complications with the modified surgical technique. Recurrence of the disease is similar to the data reported in the literature and we believe that the proposed surgical procedure can be a safe and viable option.

Keywords : thyroglossal cyst; surgery; complications; recurrence.

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