title: Recurrences after thyroglossal duct cyst surgery: Results in 207 consecutive cases and review of the literature.
abstract: BACKGROUND
  A thyroglossal duct cyst is the most common form of congenital anomaly in the neck. Surgical removal is very effective. However, in some cases, a cyst recurs. The purpose of this study was to identify factors that predispose to recurrence of a thyroglossal duct cyst.
  
  
  METHODS
  A retrospective study was conducted of consecutive patients who underwent surgical resection for histologically confirmed thyroglossal duct cysts between 1998 and 2013 in a tertiary referral center.
  
  
  RESULTS
  Two hundred seven patients were included. The overall recurrence rate was 9.7%. The most important factor predicting recurrence was the type of resection: recurrence rate was 5.3% after the Sistrunk procedure, and 55.6% after plain excision (p < .001). The only other factor that was significantly associated with chance of recurrence was postoperative infection.
  
  
  CONCLUSIONS
  The Sistrunk procedure is the treatment of choice for thyroglossal duct cysts because it yields low recurrence and morbidity. Postoperative infections, rather than preoperative infections, are associated with recurrence.
authors.affiliation: Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Daan
authors.initials: D
authors.lastname: Rohof
authors.affiliation: Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Jimmie
authors.initials: J
authors.lastname: Honings
authors.affiliation: Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Henricus J
authors.initials: HJ
authors.lastname: Theunisse
authors.affiliation: Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Henrieke W
authors.initials: HW
authors.lastname: Schutte
authors.affiliation: Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Frank J A
authors.initials: FJ
authors.lastname: van den Hoogen
authors.affiliation: Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Guido B
authors.initials: GB
authors.lastname: van den Broek
authors.affiliation: Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Robert P
authors.initials: RP
authors.lastname: Takes
authors.affiliation: Department of Pediatric Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Marc H W A
authors.initials: MH
authors.lastname: Wijnen
authors.affiliation: Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Henri A M
authors.initials: HA
authors.lastname: Marres
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D013517:Otorhinolaryngologic Surgical Procedures; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D013955:Thyroglossal Cyst / Q000453:epidemiology / Q000601:surgery*; D013965:Thyroidectomy; D016896:Treatment Outcome
keywords: Sistrunk; cervical cyst; infection; recurrence; thyroglossal duct cyst