Dimock Ethan, John Jithin, Ahluwalia Jatin, Haddad Alise, Haupert Michael
Otolaryngology, Oakland University William Beaumont School of Medicine, Auburn Hills, USA.
Otolaryngology, Detroit Medical Center, Detroit, USA.
Cureus. 2024 Feb 25;16(2):e54870. doi: 10.7759/cureus.54870. eCollection 2024 Feb.
A thyroglossal duct cyst (TGDC) is a fluid-filled mass in the neck resulting from the persistence of a duct from fetal development that typically regresses spontaneously. When it persists, it is most often removed in a surgical procedure known as a Sistrunk operation. This case study presents the intriguing case of an eight-year-old boy who presented to an otolaryngology clinic with both a recurrence of his TGDC, as well as several postoperative complications, after the Sistrunk operation was performed. After the initial procedure resulted in an incomplete removal of the TGDC, the patient was referred to Interventional Radiology for sclerotherapy. After several rounds of this treatment technique the cyst remnants still persisted along with their associated symptoms. Due to the very low likelihood of a recurrence being observed after surgical removal with subsequent sclerotherapy, the reappearance of the cyst raised several clinical questions. This report underscores the significance of a thorough evaluation and consideration of unique presentations when confronted with recurrent TGDCs.
甲状舌管囊肿（TGDC）是颈部的一个充满液体的肿块，由胎儿发育过程中一条通常会自发消退的导管持续存在所致。当它持续存在时，最常通过一种名为西斯特伦克手术的外科手术切除。本病例研究呈现了一个有趣的案例：一名八岁男孩在接受西斯特伦克手术后，甲状舌管囊肿复发并出现了多种术后并发症，随后到耳鼻喉科诊所就诊。在初次手术未能完全切除甲状舌管囊肿后，患者被转诊至介入放射科接受硬化治疗。经过几轮这种治疗技术后，囊肿残余物及其相关症状仍然存在。由于手术切除并随后进行硬化治疗后复发的可能性非常低，囊肿的再次出现引发了几个临床问题。本报告强调了面对复发性甲状舌管囊肿时进行全面评估和考虑独特表现的重要性。
