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Congenital Disorders of the Neck
Published in Raymond W Clarke, Diseases of the Ear, Nose & Throat in Children, 2023
Treatment is surgical. Thyroglossal cysts may become infected, making subsequent surgery more difficult due to scarring. Simple cystectomy is inadequate and liable to lead to recurrence. The ‘Sistrunk’s’ procedure is the classical operation for a thyroglossal cyst and includes removal not only of the cyst but of the tissue above, extending to the tongue base and including the mid-portion of the hyoid bone (Figure 26.2). The important thing is not to leave any residual epithelial cells which could cause the cyst to reform. Wide excision to include adjacent soft tissue which could harbour cell rests or a remnant of the tract is the key to successful first-time surgery.
Head and neck surgery
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
The aim of surgery is to remove the entire thyroglossal duct, including the central part of the body of the hyoid bone, to the level of the foramen cecum. Complete excision is essential to prevent recurrence and eliminate the risk of malignant degeneration. All thyroglossal cysts should be excised to avoid the risk of infection, which makes subsequent surgery more difficult and increases the morbidity and recurrence rates. The operation may be performed on an outpatient basis provided meticulous hemostasis has been achieved.
General Surgery
Published in Tjun Tang, Elizabeth O'Riordan, Stewart Walsh, Cracking the Intercollegiate General Surgery FRCS Viva, 2020
Rebecca Fish, Aisling Hogan, Aoife Lowery, Frank McDermott, Chelliah R Selvasekar, Choon Sheong Seow, Vishal G Shelat, Paul Sutton, Yew-Wei Tan, Thomas Tsang
How would you treat a thyroglossal cyst?USS neck to confirm presence of normal thyroid.Sistrunk procedure − excision with middle portion of hyoid bone and follow any tissue to base of tongue. The Sistrunk procedure is considered the gold standard surgical approach to excision of a thyroglossal cyst, it has the lowest recurrence rates of <5% compared to simple excision of the cyst which is associated with recurrence rates of >30%.
Synergism interaction between genetic polymorphisms in drug metabolizing enzymes and NSAIDs on upper gastrointestinal haemorrhage: a multicenter case-control study
Published in Annals of Medicine, 2022
Narmeen Mallah, Maruxa Zapata-Cachafeiro, Carmelo Aguirre, Eguzkiñe Ibarra-García, Itziar Palacios-Zabalza, Fernando Macías-García, María Piñeiro-Lamas, Luisa Ibáñez, Xavier Vidal, Lourdes Vendrell, Luis Martin-Arias, María Sáinz-Gil, Verónica Velasco-González, Manuel Bacariza-Cortiñas, Angel Salgado, Ana Estany-Gestal, Adolfo Figueiras
For each case, controls matched by the hospital, gender, and age (±5 years) were selected. To avoid selection bias due to excessive intake of NSAIDs, controls were either outpatients or patients enrolled from the preoperative unit among subjects who were about to undergo any of the following non-painful mild surgeries which were unrelated to the use of NSAIDs: plastic surgery, inguinal or umbilical hernia (strangulated or programmed), lipoma, varicotomy, prostatic adenoma, prostatic hyperplasia, thyroid nodules and thyroglossal cyst (euthyroid), eye cataract, phimosis, ear pinning, vocal cord cyst, tubal ligation, and septoplasty.
Evaluation of endoscopic coblation treatment for obliteration of congenital pyriform sinus fistula
Published in Acta Oto-Laryngologica, 2018
Lulu Wang, Jianzhong Sang, Yamin Zhang, Liuzhong Wang, Wendan Gong, Hua Cao
The duration from the first onset to the diagnosis of a pyriform sinus fistula was an average of 59 days (range of 3–247). Due to the rarity of pyriform sinus fistula, 68 patients (60.7%) experienced at least onetime misdiagnosis prior to their presentation at our institution: 28 patients were misdiagnosed with neck abscess, 19 with thyroglossal cyst, 13 with acute thyroiditis, and 8 with lymphadenitis.