Our Surgery Experience with Thyroglossal Ductus Cyst and Fistules |Biomedgrid

Objective: In this study, we aimed to analyze the clinical symptoms, examination signs, and treatments of 34 patients who were operated on with the diagnosis of thyroglossal duct cyst, together with the literature. Methods: We retrospectively analyzed the medical reports of 34 patients operated on due to a thyroglossal duct cyst in our clinic. The patient's age, gender, location of the swelling in the neck region and whether they were fistulized, symptoms, USG results, and pathological results were recorded by us. Results: Of the 34 patients, 20 were male, and 14 were female, and their ages ranged from 6 to 48 years (mean 14.3±11.7 years). The most common symptom was swelling in the middle of the neck (82%). Other symptoms were occasional discharge or fistula in the middle of the neck. Swelling or fistula mouth was in the midline of the neck in 28 patients and the paramedian region (4 on the right and two on the left) in 6 patients. In the symptoms of the cases, we see Fistula mouth in 9 and cyst formation in 25 cases. A neck ultrasound was performed on all patients. All our patients underwent a Sistrunk operation. Thyroglossal duct cysts recurred in only two of our patients, and they have been operated on again. The pathology results of all our patients were thyroglossal duct cysts. Conclusion: Thyroglossal duct cysts and fistulas should not be forgotten in the differential diagnosis of patients presenting with inflammatory discharge and swelling in the middle region of the neck. Surgery should be performed to treat thyroglossal duct cysts because of the risk of cancer transformation. Sistrunk operation is in the first place in the treatment. It is the method with minor repetition.