title: "Extended" Sistrunk procedure in the treatment of recurrent thyroglossal duct cysts: a 10-year experience.
abstract: OBJECTIVE
  We report a 10-year experience of children with recurrent thyroglossal duct cysts (TGDCs) who have been treated using the "extended" Sistrunk procedure.
  
  
  METHODS
  We performed a retrospective review of TGDC surgery from 2004 to 2013. Sistrunk operation was the procedure of choice in all patients. Seven children had TGDC recurrence. All of them underwent "extended" Sistrunk procedure. Follow up ranged from 6 months to 8 years.
  
  
  RESULTS
  There were no gender differences, all recurrences presented within 12 months follow-up in the same location of the primary cyst. Five out of 7 (71%) patients have been treated for preoperative and 2/7 (29%) for postoperative infection at the time of primary surgery. Pathological examination of the surgical specimens showed a single tract in 2 children (29%) and multiple tracts in 5 (71%). We did not observe postoperative complications or further recurrences.
  
  
  CONCLUSIONS
  Our experience suggest that recurrent TGDCs are equally common in both sexes, develop in the same location of the primary cyst and recur more commonly after perioperative infections. The "extended" Sistrunk procedure is highly effective and safe in treating recurrent TGDCs also if multiple duct tracts are detected.
authors.affiliation: Pediatric Surgery Unit, Medical and Surgical Sciences Department, University of Foggia, Italy. Electronic address: valentina.pastore@teletu.it.
authors.forename: Valentina
authors.initials: V
authors.lastname: Pastore
authors.affiliation: Pediatric Surgery Unit, Medical and Surgical Sciences Department, University of Foggia, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Bartoli
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013517:Otorhinolaryngologic Surgical Procedures; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies; D013955:Thyroglossal Cyst / Q000601:surgery*; D016896:Treatment Outcome
keywords: Children; Extended Sistrunk procedure; Recurrence; Thyroglossal duct cyst