Abstract
The Sistrunk procedure has long been the method of choice for treating patients with
thyroglossal duct remnants (TDRs). However, the extent of the surgical resection in
the suprahyoid segment of the TDR remains controversial, as this anatomical site is
the origin of both disease recurrence and surgical morbidity. The aim of this two-centre
retrospective cohort study was to investigate the outcomes of a modified muscle-sparing
Sistrunk procedure in primary TDRs. The primary predictor was the surgical approach,
and the outcome variable was the recurrence rate. A total of 110 consecutive patients
(62 (56.4%) male, 48 (43.6%) female) who underwent a modified muscle-sparing Sistrunk
procedure were included in the study. Their mean age at presentation was 26.9 ± 18.9
years. A modified muscle-sparing Sistrunk procedure using cold instruments, electrocautery,
and a harmonic scalpel was performed in all patients. Recurrence was recorded in six
(5.5%) patients. The median hospital stay was 2 days (range 1–7 days), and the median
follow-up duration was 7 years (range 2–13 years). There was no significant difference
in recurrence rate between the conventional and modified muscle-sparing Sistrunk procedure
in primary TDRs. The study findings showed that the modified muscle-sparing Sistrunk
procedure had low recurrence and complication rates in the context of primary TDR.
Keywords
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Article info
Publication history
Published online: February 08, 2023
Accepted:
January 27,
2023
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
