Shailendra Singh1, Raj Kumar Mathur2, Manish Kaushal3, Shashi Shankar Sharma4
BACKGROUND
Thyroglossal cyst is a congenital malformation that occurs due to incomplete closure of the thyroglossal duct. Apart from quiescent embryological remnant, it presents clinically as a midline cystic swelling that moves with tongue protrusion; present at any age, often requires surgical excision. Complete excision of tract is necessary to prevent recurrence. Sistrunk’s surgery is done for thyroglossal duct remnants.
OBJECTIVE
Gender wise distribution of patients of thyroglossal cyst. To know the presentation of thyroglossal cyst in the patients admitted in M.Y.H. Management of thyroglossal cyst in Indian population.
MATERIAL AND METHODS
Sample size was of 30 patients of age ranged 0 to 70 years, operated in M.Y. Hospital, Indore over a period of 2003 to 2013 (10 years). Patient’s data was collected from medical record in retrospective manner and from 2014 to 2015 in prospective manner, included patients of clinically diagnosed thyroglossal cyst. All 30 patients were primary case of thyroglossal cyst with no recurrence cases. The gender preponderance, various presentation and management options were observed. Complications or recurrence if any were noted.
RESULT
A total 30 cases of thyroglossal cyst with mean age of 23 years were included in study. There were fifteen males and fifteen female patients. Most common site of cyst was infrahyoid region. All 30 patients were managed surgically as definitive management. Two patients initially underwent excision of cyst only, both of them had “recurrence” and managed second time with Sistrunk’s operation. There was no recurrence following Sistrunk’s procedure on followup up to 6 months.
CONCLUSION
The most common presentation of thyroglossal cyst is a midline cystic swelling that moves with tongue protrusion. The standard surgical approach to thyroglossal cyst is Sistrunk’s operation with low recurrence rate. Malignancy within thyroglossal cyst is very rare but should be rule out in all cases.
