ECEESPE2025 ePoster Presentations Thyroid (198 abstracts)
Thyroglossal duct cysts: diagnosis and management
Mehdi Ferjaoui 1 , Misbah Linda 1 , Meriem Grassa 1 , Nawres Bouaziz 1 , Rachida Bouatay 1 , Amel El Korbi 1 , Nawres Kolsi 1 , Khaled Harrathi 1 & Jamel Koubaa 1
1Fattouma Bourguiba University Hospital, Monastir, Tunisia.
JOINT3735
Introdution: Thyroglossal duct cysts (TGDCs) are the most common congenital midline neck masses in the pediatric population. TGDCs result from incomplete involution of the thyroglossal duct, which guides the descent of the thyroid gland from the base of the tongue to the thyroid. There are several indications for their removal, including recurrent infections, sinus formation and risk of malignancy. This article reviews the clinical presentation, diagnosis, and surgical management of TGDCs in children.
Material and method: This is a retrospective study conducted in the ENT department at Fattouma Bourguiba Hospital in Monastir over a four-year period, from January 2021 to December 2024, involving 45 cases of thyroglossal duct cysts.
Observation: The mean age was 6.37 years, with extremes ranging from 3 to 15 years, and the sex ratio was 0.83 (20 males/24 females). One child had previously undergone surgery for hydrocele. These children presented with cervical swelling that had developed since birth, with a history of infection in 9 cases. On examination, an infrahyoid swelling ranging from 0.5 to 4 cm was noted, mobile on tongue protrusion and swallowing, with the presence of a fistula and serous discharge in 9 cases. Ultrasound findings were consistent with a thyroglossal duct cyst in all 45 cases. Surgical excision using the modified Sistrunk procedure was performed in all cases with an uneventful postoperative course.
Conclusion: A persisting thyroglossal duct may lead to cysts or fistulas. The most common method of treatment is complete resection through the Sistrunk procedure. This technique effectively removes the cysts and reduces recurrence rates.
Volume 110
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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