Thyroglossal duct surgery. What is the acceptable recurrence rate?

Authors

• Asma A. Alahmadi, From the Department of Otolaryngology-Head & Neck Surgery (Alahmadi, Rajab, Althobaiti, Abi Sheffah, Al-Tammas, Marglani, Heaphy, Alherabi); from the Department of Surgery (O. Bawazir), Pediatric Surgery Section, King Faisal Specialist Hospital & Research Centre, from the College of Medicine (A. Bawazir), King Saud bin Abdulaziz University for Health Science, Jeddah, from the College of Medicine (O. Bawazir), Umm Al-Qura University; and from the Otolaryngology-Head & Neck Surgery Department (Marglani, Alherabi), College of Medicine, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia
• Osama A. Bawazir, From the Department of Otolaryngology-Head & Neck Surgery (Alahmadi, Rajab, Althobaiti, Abi Sheffah, Al-Tammas, Marglani, Heaphy, Alherabi); from the Department of Surgery (O. Bawazir), Pediatric Surgery Section, King Faisal Specialist Hospital & Research Centre, from the College of Medicine (A. Bawazir), King Saud bin Abdulaziz University for Health Science, Jeddah, from the College of Medicine (O. Bawazir), Umm Al-Qura University; and from the Otolaryngology-Head & Neck Surgery Department (Marglani, Alherabi), College of Medicine, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia
• Mohannad K. Rajab, From the Department of Otolaryngology-Head & Neck Surgery (Alahmadi, Rajab, Althobaiti, Abi Sheffah, Al-Tammas, Marglani, Heaphy, Alherabi); from the Department of Surgery (O. Bawazir), Pediatric Surgery Section, King Faisal Specialist Hospital & Research Centre, from the College of Medicine (A. Bawazir), King Saud bin Abdulaziz University for Health Science, Jeddah, from the College of Medicine (O. Bawazir), Umm Al-Qura University; and from the Otolaryngology-Head & Neck Surgery Department (Marglani, Alherabi), College of Medicine, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia
• Ibtihal A. Althobaiti, From the Department of Otolaryngology-Head & Neck Surgery (Alahmadi, Rajab, Althobaiti, Abi Sheffah, Al-Tammas, Marglani, Heaphy, Alherabi); from the Department of Surgery (O. Bawazir), Pediatric Surgery Section, King Faisal Specialist Hospital & Research Centre, from the College of Medicine (A. Bawazir), King Saud bin Abdulaziz University for Health Science, Jeddah, from the College of Medicine (O. Bawazir), Umm Al-Qura University; and from the Otolaryngology-Head & Neck Surgery Department (Marglani, Alherabi), College of Medicine, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia
• Abdullah O. Bawazir, From the Department of Otolaryngology-Head & Neck Surgery (Alahmadi, Rajab, Althobaiti, Abi Sheffah, Al-Tammas, Marglani, Heaphy, Alherabi); from the Department of Surgery (O. Bawazir), Pediatric Surgery Section, King Faisal Specialist Hospital & Research Centre, from the College of Medicine (A. Bawazir), King Saud bin Abdulaziz University for Health Science, Jeddah, from the College of Medicine (O. Bawazir), Umm Al-Qura University; and from the Otolaryngology-Head & Neck Surgery Department (Marglani, Alherabi), College of Medicine, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia
• Anas H. Al-Tammas, From the Department of Otolaryngology-Head & Neck Surgery (Alahmadi, Rajab, Althobaiti, Abi Sheffah, Al-Tammas, Marglani, Heaphy, Alherabi); from the Department of Surgery (O. Bawazir), Pediatric Surgery Section, King Faisal Specialist Hospital & Research Centre, from the College of Medicine (A. Bawazir), King Saud bin Abdulaziz University for Health Science, Jeddah, from the College of Medicine (O. Bawazir), Umm Al-Qura University; and from the Otolaryngology-Head & Neck Surgery Department (Marglani, Alherabi), College of Medicine, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia
• Osama A. Marglani, From the Department of Otolaryngology-Head & Neck Surgery (Alahmadi, Rajab, Althobaiti, Abi Sheffah, Al-Tammas, Marglani, Heaphy, Alherabi); from the Department of Surgery (O. Bawazir), Pediatric Surgery Section, King Faisal Specialist Hospital & Research Centre, from the College of Medicine (A. Bawazir), King Saud bin Abdulaziz University for Health Science, Jeddah, from the College of Medicine (O. Bawazir), Umm Al-Qura University; and from the Otolaryngology-Head & Neck Surgery Department (Marglani, Alherabi), College of Medicine, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia
• John C. Heaphy, From the Department of Otolaryngology-Head & Neck Surgery (Alahmadi, Rajab, Althobaiti, Abi Sheffah, Al-Tammas, Marglani, Heaphy, Alherabi); from the Department of Surgery (O. Bawazir), Pediatric Surgery Section, King Faisal Specialist Hospital & Research Centre, from the College of Medicine (A. Bawazir), King Saud bin Abdulaziz University for Health Science, Jeddah, from the College of Medicine (O. Bawazir), Umm Al-Qura University; and from the Otolaryngology-Head & Neck Surgery Department (Marglani, Alherabi), College of Medicine, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia
• Ameen Z. Alherabi, From the Department of Otolaryngology-Head & Neck Surgery (Alahmadi, Rajab, Althobaiti, Abi Sheffah, Al-Tammas, Marglani, Heaphy, Alherabi); from the Department of Surgery (O. Bawazir), Pediatric Surgery Section, King Faisal Specialist Hospital & Research Centre, from the College of Medicine (A. Bawazir), King Saud bin Abdulaziz University for Health Science, Jeddah, from the College of Medicine (O. Bawazir), Umm Al-Qura University; and from the Otolaryngology-Head & Neck Surgery Department (Marglani, Alherabi), College of Medicine, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia

Abstract

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 & 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 <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 <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.

Article Type

Other

First Page

878

Last Page

882

Recommended Citation

Alahmadi, Asma A.; Bawazir, Osama A.; Rajab, Mohannad K.; Althobaiti, Ibtihal A.; Bawazir, Abdullah O.; Al-Tammas, Anas H.; Marglani, Osama A.; Heaphy, John C.; and Alherabi, Ameen Z. (2020) "Thyroglossal duct surgery. What is the acceptable recurrence rate?," Saudi Medical Journal: Vol. 41: Iss. 8, Article 15.
DOI: https://doi.org/10.15537/smj.2020.8.25169