CONGENITAL CYSTIC NECK LESIONS: A SINGLE-CENTRE STUDY
Authors:
Chrysostomidis A., Louizakis A., Michailidou D., Grivas T. , Pasteli N.*, Boukovinas I.**, Kyrgidis A., Vachtsevanos K.
Affiliation:
1 Oral Maxillofacial Surgery Department, G Papanikolaou Hospital, Aristotle University, Thessaloniki, Greece
*Pathology department, G Papanikolaou Hospital, Aristotle University, Thessaloniki, Greece
**Medical Oncologist, private practice, Thessaloniki, Greece
Doi: 10.54936/haoms242p54
ABSTRACT:
Objectives: Congenital cystic neck lesions comprise an uncommon group of lesions that are usually encountered during infancy and childhood. The prevalence of these lesions varies from common (thyroglossal duct cysts, branchial cleft cysts, and cystic hygromas) to very rare entities (thymic and cervical bronchogenic cysts). Accurate prevalence remains unknown. Thyroglossal duct cysts (TGDC) are the most common lesions found in the midline of the neck, in approximately 7% of the population, usually in children. Mainly they present as a mobile, non-tender swelling, usually inferiorly to the hyoid bone (~75%of patients) .Pain can be associated with local inflammation. The treatment of choice for TGDC is the Sistrunk procedure, ensuring removal of the full length of the duct remnants by including the midportion of the hyoid bone.
Materials and Methods: The aim of this paper is to present the Department’s experience treating patients with congenital cystic neck lesions in the last 3.5-year time span (9/2019-6/2023).
Results: The patients were five males (83,3%) (mean age 50.5 years, range 36-71years) and a (16,7%) 63-year-old female. All patients presented with a mobile painless neck swelling and they had normal thyroid function. All patients underwent surgical excision of the thyroglossal cyst including the midportion of hyoid bone (Sistrunk procedure). No complications or recurrences noted to date.
Conclusion: Congenital cystic neck lesions, although rare in adults, as they are typically diagnosed and treated in early childhood, can be intricated with inflammation. Surgical resection and histological confirmation are required.
KEY WORDS: Congenital cystic neck lesions, thyroglossal duct cyst (TGDC), surgical excision
Authors:
Chrysostomidis A., Louizakis A., Michailidou D., Grivas T. , Pasteli N.*, Boukovinas I.**, Kyrgidis A., Vachtsevanos K.
Affiliation:
1 Oral Maxillofacial Surgery Department, G Papanikolaou Hospital, Aristotle University, Thessaloniki, Greece
*Pathology department, G Papanikolaou Hospital, Aristotle University, Thessaloniki, Greece
**Medical Oncologist, private practice, Thessaloniki, Greece
Doi: 10.54936/haoms242p54
ABSTRACT:
Objectives: Congenital cystic neck lesions comprise an uncommon group of lesions that are usually encountered during infancy and childhood. The prevalence of these lesions varies from common (thyroglossal duct cysts, branchial cleft cysts, and cystic hygromas) to very rare entities (thymic and cervical bronchogenic cysts). Accurate prevalence remains unknown. Thyroglossal duct cysts (TGDC) are the most common lesions found in the midline of the neck, in approximately 7% of the population, usually in children. Mainly they present as a mobile, non-tender swelling, usually inferiorly to the hyoid bone (~75%of patients) .Pain can be associated with local inflammation. The treatment of choice for TGDC is the Sistrunk procedure, ensuring removal of the full length of the duct remnants by including the midportion of the hyoid bone.
Materials and Methods: The aim of this paper is to present the Department’s experience treating patients with congenital cystic neck lesions in the last 3.5-year time span (9/2019-6/2023).
Results: The patients were five males (83,3%) (mean age 50.5 years, range 36-71years) and a (16,7%) 63-year-old female. All patients presented with a mobile painless neck swelling and they had normal thyroid function. All patients underwent surgical excision of the thyroglossal cyst including the midportion of hyoid bone (Sistrunk procedure). No complications or recurrences noted to date.
Conclusion: Congenital cystic neck lesions, although rare in adults, as they are typically diagnosed and treated in early childhood, can be intricated with inflammation. Surgical resection and histological confirmation are required.
KEY WORDS: Congenital cystic neck lesions, thyroglossal duct cyst (TGDC), surgical excision