CLINICAL PRESENTATION AND SURGICAL TREATMENT OF THYROGLOSSAL DUCT ANOMALIES (TGDAS).
DOI:
https://doi.org/10.52206/jsmc.2011.1.2.60-63Abstract
Objectives: To study the profdes of patients presenting with Thyroglossal duct anomalies and the outcome
of their surgical treatment.
Study Design: Descriptive.
Setting and duration of the study: Saidu Teaching Hospital Saidu Sharif Swat, from November 2005 to
November 2006.
Patients and methods: All patients were admitted through Out- patient department. They were analyzed on
the basis of location, age, sex, clinical presentation, operative findings, surgical procedure performed and
duration of follow up. All the operations were done by the fellows of Oto-rhino-laryngology.
Diagnosis was based on clinical examination in all cases. Ultrasound was carried out in all the patients to
localize thyroid gland.Thyroid isotope scan and fistulogram are necessary preoperatively to find out
functioning ectopic thyroid tissues and to see the extant of the tract. These investigations were not carried
out due to poor socioeconomic condition of the patients. Histopathological study was done in all the cases
Results: A total of fifteen patients with clinically suspected thyroglossal duct anomalies were admitted from
November 2005 to Nov 2006. Out of the fifteen patients, one was female while the 14 cases were male.
Age of the patients ranged from 2-16 years. Ten patients were below 8 years of age while 05 patients were
above 8 years. Majority (53.5%) presented with neck swelling followed by discharging fistula (33.3%). All
patients presented with midline swelling except one on the left side. Majority of swellings, i.e. 66% were
present in the infra-hyoid region, while 26% presented at the pre-hyoid area. Per-operative findings
includes 07 cases with tract up to the hyoid, 3 up to the tongue base, 3 tract attached to the hyoid bone, one
up to thyro-hyoid membrane, while in one case no tract was found.
Conclusion; It is concluded from our study that most of the patients were below 8 years of age; male
children were predominantly affected and majority of them presented with cystic swelling on one side of
neck.In 10 patients, the anomalies were situated in the infrahyoid region.No recurrence occurred via
performing standard Sistrunck procedure at one year follow up.
Key words; Key words: Thryoglossal duct anomalies, Sistrunk operation
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