Our Summary

This study looked at the presence of microscopic disease in children who had surgery to remove a thyroglossal duct cyst (TGDC), which is a type of neck mass that can occur from birth. The researchers found that the majority of children who had this surgery had microscopic disease located above a bone in the neck called the hyoid bone, even if no disease could be seen during surgery. This was especially common in children who needed a second surgery. The researchers suggest that surgeons should routinely remove tissue from above the hyoid bone during surgery to reduce the chances of the disease persisting. This is important because remnants of the disease can potentially lead to the need for additional surgery.

FAQs

  1. What is a thyroglossal duct cyst (TGDC)?
  2. Where is microscopic disease most commonly found during TGDC removal surgery?
  3. Why do researchers suggest removing tissue from above the hyoid bone during surgery?

Doctor’s Tip

A doctor might tell a patient that it is important to follow post-operative care instructions carefully to ensure proper healing and reduce the risk of complications. This may include keeping the surgical site clean and dry, avoiding strenuous activities that could strain the neck area, and taking prescribed medications as directed. It is also important for the patient to attend follow-up appointments to monitor healing progress and address any concerns. Additionally, the doctor may recommend regular neck examinations to check for any signs of recurrence or complications.

Suitable For

Patients who are typically recommended for thyroglossal duct cyst removal include:

  1. Children with a thyroglossal duct cyst that is causing symptoms such as difficulty swallowing, breathing, or speaking.
  2. Patients with recurrent or persistent thyroglossal duct cysts.
  3. Patients with a thyroglossal duct cyst that is growing in size.
  4. Patients with a thyroglossal duct cyst that is causing cosmetic concerns.
  5. Patients with a thyroglossal duct cyst that is suspected to be cancerous.
  6. Patients who have had previous surgeries for a thyroglossal duct cyst and are experiencing recurrence or persistence of the disease.
  7. Patients with a thyroglossal duct cyst that is causing pain or discomfort.

It is important for patients to consult with a healthcare provider to determine if thyroglossal duct cyst removal is necessary and appropriate for their individual case.

Timeline

Before thyroglossal duct cyst removal:

  • Patient may notice a painless, movable lump in the neck
  • Patient may experience recurrent infections or drainage from the lump
  • Patient may undergo imaging tests such as ultrasound or CT scan to diagnose the cyst
  • Patient may be prescribed antibiotics to treat any infections

After thyroglossal duct cyst removal:

  • Surgery is performed to remove the cyst and any surrounding tissue
  • Patient may experience some pain and swelling at the surgical site
  • Patient may need to stay in the hospital for a day or two for monitoring
  • Patient will be prescribed pain medication and antibiotics to prevent infection
  • Follow-up appointments with the surgeon will be scheduled to monitor healing and check for any signs of recurrence
  • Patient may need to avoid strenuous activities for a period of time to allow for proper healing

What to Ask Your Doctor

  1. What is a thyroglossal duct cyst and why do I need surgery to remove it?
  2. What are the potential risks and complications associated with the surgery?
  3. How long is the recovery process after surgery and what can I expect in terms of pain and discomfort?
  4. Will there be any scarring after the surgery and if so, how can it be minimized?
  5. What is the likelihood of microscopic disease being present above the hyoid bone and how does that impact my treatment?
  6. Will I need any follow-up appointments or additional treatment after the surgery?
  7. What is the success rate of this surgery in completely removing the cyst and preventing recurrence?
  8. Are there any lifestyle changes or restrictions I need to follow post-surgery?
  9. How soon can I return to normal activities, such as work or school, after the surgery?
  10. Are there any long-term effects or implications of having had a thyroglossal duct cyst removed?

Reference

Authors: Garcia E, Osterbauer B, Parham D, Koempel J. Journal: Laryngoscope. 2019 May;129(5):1215-1217. doi: 10.1002/lary.27291. Epub 2018 Sep 8. PMID: 30194760