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European Archives of Oto-Rhino-Laryngology

Open Access 09-04-2024 | Head and Neck

Does thyroglossal duct arborization play a role in the post-surgical outcome of Sistrunk procedure in children?

Authors: Claudio Spinelli, Marco Ghionzoli, Clara Ugolini, Chiara Oreglio, Carla Guglielmo, Antonino Morabito, Armando Patrizio, Poupak Fallahi, Silvia Martina Ferrari, Alessandro Antonelli

Published in: European Archives of Oto-Rhino-Laryngology

Abstract

Purpose

The purpose of the present study is to analyze thyroglossal duct cyst (TGDC) histopathological features, with focus on “arborization”, in a cohort of pediatric patients who underwent surgical removal, and evaluate a possible correlation with clinical recurrences.

Methods

A retrospective analysis of all patients who underwent surgical resection for TGDC at the division of Pediatric Surgery of the University of Pisa from 2015 to 2020 was performed; for each patient, the following data were recorded: age, sex, clinical presentation, localization, size of the lesion, diagnostic tools, histopathological features, perioperative complications, recurrence and follow-up.

Results

With respect to arborization, following histopathological analysis 25/30 patients (83.3%) presented thyroglossal duct branching. After a median follow-up of 3.5 years, only 2 out of 30 patients (6.7%), one male and one female, respectively aged 4 y.o. and 6 y.o., presented recurrence within one year from first surgery.

Conclusion

Surgery for TGDC remains a challenge for pediatric surgeons, while arborization was present in most of our cases which underwent surgery. With respect to the role of arborization, our study did not highlight sufficient conclusive data regarding their role in recurrence: instead, it showed wide resection as satisfactory, being the arborization present in most of the cases at histopathology.

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Title: Does thyroglossal duct arborization play a role in the post-surgical outcome of Sistrunk procedure in children?
Authors: Claudio Spinelli
Marco Ghionzoli
Clara Ugolini
Chiara Oreglio
Carla Guglielmo
Antonino Morabito
Armando Patrizio
Poupak Fallahi
Silvia Martina Ferrari
Alessandro Antonelli
Publication date: 09-04-2024
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-024-08631-y

At a glance: The STEP trials

Springer Medicine

Does thyroglossal duct arborization play a role in the post-surgical outcome of Sistrunk procedure in children?

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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