Management of incidental thyroglossal duct cysts during laryngotracheal reconstruction.
Thyroglossal duct cysts originate from trapped elements of the thyroglossal duct tract during embryological descent of the thyroid gland. The incidental finding of a thyroglossal duct cyst during cervical surgery has not been described previously. We present four cases of small asymptomatic thyroglossal duct cysts discovered as an incidental finding during laryngotracheal reconstruction. In each case, the cyst was removed using a Sistrunk procedure. In all four cases the patient was successfully decannulated, and there were no cases of cyst recurrence. We also consider the implications that these four cases may have on the perceived incidence of the thyroglossal duct cysts and their management.
Burkart
Collin M
CM
Division of Pediatric Otolaryngology, Aerodigestive and Sleep Center, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA.
Myer
Charles M
CM
Cotton
Robin T
RT
Rutter
Michael J
MJ
D002675:Child, Preschool; D005260:Female; D006801:Humans; D033162:Incidental Findings; D007223:Infant; D007432:Intraoperative Period; D007830:Larynx / Q000601:surgery; D008297:Male; D013517:Otorhinolaryngologic Surgical Procedures; D013955:Thyroglossal Cyst / Q000175:diagnosis* / Q000601:surgery*; D014132:Trachea / Q000601:surgery