6) The Sistrunk procedure has been considered the gold standard treatment with a relatively lower rate of recurrence.
Furthermore, depending on the clinical presentation, all patients underwent surgical intervention, which mainly constituted of the Sistrunk procedure and excision of the cyst.
Of the 102 patients operated, 78% underwent the Sistrunk procedure (one patient was found to have a spontaneous rupture of the cyst) followed by excision of the thyroglossal cyst alone (18%).
The Sistrunk procedure remains the gold standard for the surgical excision of TDC, which is associated with a lower rate of recurrence.
Based on the lesions atypical location, we obtained patient consent to perform a thyroidectomy and Sistrunk procedure.
The Sistrunk procedure has been shown to reduce recurrences (from 40% to 4%) by removal of the entire length of the duct, including resection of the hyoid bone, which is developmentally related to the duct and often (60% of cases) intimately associated with the cyst.
Recurrence rate after the Sistrunk procedure was 2 (8%).
Conclusion: Recurrence of thyroglossal duct cyst remains low when the Sistrunk procedure is employed.
7%) after a Sistrunk procedure was reported by TA1/4rkyilmaz Z et al; however, he could not identify related special features such as inflammation, perforation at surgery, presentation with fistula or previous drainage of the cyst.
Histologic analysis after a Sistrunk procedure
revealed a small focus of papillary carcinoma within the TGDC.
Several surgical approaches have been described to treat LTGDCs, including transoral marsupialization, cystectomy, and the Sistrunk procedure.
3) Cysts that do recur likely involve a more complex relationship with the hyoid bone, and affected patients may benefit from a modified Sistrunk procedure.