caa a22 4500 60618323X CHVBK 20210128100820.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s00405-014-3229-6 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3229-6 Thyroglossal duct cysts: 20years' experience (1992-2011) [Elektronische Daten] [Julie de Tristan, Johannes Zenk, Julian Künzel, Georgios Psychogios, Heinrich Iro] The objective of the present study is to report on the clinical course and management of thyroglossal duct cysts. Retrospective review of all patients who underwent surgery for thyroglossal duct cysts between 2000 and 2013 at a tertiary referral center was carried out. The operations were performed using a modification of the Sistrunk operation: transcervical cystectomy, partial dissection of the hyoid bone, and dissection of all tracts identified during surgery. A total of 352 patients (176 men, 176 women) underwent surgery for a cyst (n=282) or discharging sinus (n=70). The mean age for the incidence of cysts was 26years. Four of the patients (1.4%) had a papillary thyroid carcinoma in the epithelium of the cyst. The follow-up period ranged from 7months to 10years. The overall recurrence rate was 4.5%. Resection is often regarded as an elective surgical procedure in patients with thyroglossal duct cysts, but surgery should always be considered. Papillary thyroid carcinoma in the epithelium of the cyst is a rare but possible differential diagnosis. Dissection of all tracts found is recommended and partial dissection of the hyoid bone is mandatory. Dissection of the foramen cecum is not imperative. The recurrence rates with this approach are comparable to more extensive methods such as those described by Sistrunk. Springer-Verlag Berlin Heidelberg, 2014 Thyroglossal duct cyst nationallicence Fistula nationallicence Discharging sinus nationallicence Sistrunk nationallicence Neck abnormalities nationallicence Congenital neck mass nationallicence Ultrasound nationallicence Thyroid carcinoma nationallicence de Tristan Julie Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg Medical School, Waldstrasse 1, 91054, Erlangen, Germany aut Zenk Johannes Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg Medical School, Waldstrasse 1, 91054, Erlangen, Germany aut Künzel Julian Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg Medical School, Waldstrasse 1, 91054, Erlangen, Germany aut Psychogios Georgios Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg Medical School, Waldstrasse 1, 91054, Erlangen, Germany aut Iro Heinrich Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg Medical School, Waldstrasse 1, 91054, Erlangen, Germany aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/9(2015-09-01), 2513-2519 0937-4477 272:9<2513 2015 272 405 https://doi.org/10.1007/s00405-014-3229-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3229-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- de Tristan Julie Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg Medical School, Waldstrasse 1, 91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Zenk Johannes Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg Medical School, Waldstrasse 1, 91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Künzel Julian Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg Medical School, Waldstrasse 1, 91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Psychogios Georgios Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg Medical School, Waldstrasse 1, 91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Iro Heinrich Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg Medical School, Waldstrasse 1, 91054, Erlangen, Germany aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/9(2015-09-01), 2513-2519 0937-4477 272:9<2513 2015 272 405