| Titre : | THYROGLOSSAL DUCT CYSTS IN CHILDREN : DIAGNOSTIC AND SURGICAL APPROACH | | Type de document : | thèse | | Auteurs : | Chiraz HASSOUN, Auteur | | Année de publication : | 2022 | | Langues : | Anglais (eng) | | Mots-clés : | Thyroglossal duct cyst Diagnosis SISTRUNK technique Recurrences Robotic surgery Kyste du tractus thyréoglosse Diagnostic Technique de SISTRUNK Récidives Chirurgie robotique كیس القناة الدرقیة التشخیص تقنیة سیسترنك ظاھرة الرجعة الجراحة الروبوتیة. | | Résumé : | Thyroglossal duct cysts (TDCs) are congenital cervical malformations. Their percentage is
found to be between 70% and 75% of the midline swellings of the neck in the pediatric
population.
The aim of our study is to evaluate the epidemiological, clinical and therapeutic data and to
try to determine the elements that may explain the occurrence of complications and
recurrences by retrospective analysis of a series of 32 patients consecutive with TDCs
managed in the Infant Surgery Department "A" at the Children's Hospital of Rabat, between
2015 and 2020.
Analysis of distribution based on age and gender shows male predominance (62,5% of cases).
The mean age of the female patients at presentation is 6,63 years with extremes ranging from
3 years to 11 years while the mean age of the male patients is 6,71 years with extremes
ranging from 1 years to 15 years. The most affected age group is between 6 to 12 years.
The usual clinical presentation is a cervical mass, movable, non-tender, sometimes elevating
during swallowing or protrusion of the tongue. In the majority of cases, the location of the
cysts is median and supra-hyoid.
Cervical ultrasound is performed in all patients, showing a typical appearance of the cyst and
verifying the normal position of the thyroid.
Surgery by the Sistrunk procedure remains the treatment of choice. However, new
recommendations for surgical techniques have been proposed in the literature such as surgical
endoscopy and robotic surgery in the management of thyroglossal duct cysts, but despite their
satisfactory results, there is a need for more multicenter studies based on a larger population
to compare head and neck robotic surgeries with other surgical techniques. | | Numéro (Thèse ou Mémoire) : | M1232022 | | Président : | Mounir KISRA | | Directeur : | Mounir KISRA | | Juge : | Houssain TLIGUI | | Juge : | Hicham ZERHOUNI |
THYROGLOSSAL DUCT CYSTS IN CHILDREN : DIAGNOSTIC AND SURGICAL APPROACH [thèse] / Chiraz HASSOUN, Auteur . - 2022. Langues : Anglais ( eng) | Mots-clés : | Thyroglossal duct cyst Diagnosis SISTRUNK technique Recurrences Robotic surgery Kyste du tractus thyréoglosse Diagnostic Technique de SISTRUNK Récidives Chirurgie robotique كیس القناة الدرقیة التشخیص تقنیة سیسترنك ظاھرة الرجعة الجراحة الروبوتیة. | | Résumé : | Thyroglossal duct cysts (TDCs) are congenital cervical malformations. Their percentage is
found to be between 70% and 75% of the midline swellings of the neck in the pediatric
population.
The aim of our study is to evaluate the epidemiological, clinical and therapeutic data and to
try to determine the elements that may explain the occurrence of complications and
recurrences by retrospective analysis of a series of 32 patients consecutive with TDCs
managed in the Infant Surgery Department "A" at the Children's Hospital of Rabat, between
2015 and 2020.
Analysis of distribution based on age and gender shows male predominance (62,5% of cases).
The mean age of the female patients at presentation is 6,63 years with extremes ranging from
3 years to 11 years while the mean age of the male patients is 6,71 years with extremes
ranging from 1 years to 15 years. The most affected age group is between 6 to 12 years.
The usual clinical presentation is a cervical mass, movable, non-tender, sometimes elevating
during swallowing or protrusion of the tongue. In the majority of cases, the location of the
cysts is median and supra-hyoid.
Cervical ultrasound is performed in all patients, showing a typical appearance of the cyst and
verifying the normal position of the thyroid.
Surgery by the Sistrunk procedure remains the treatment of choice. However, new
recommendations for surgical techniques have been proposed in the literature such as surgical
endoscopy and robotic surgery in the management of thyroglossal duct cysts, but despite their
satisfactory results, there is a need for more multicenter studies based on a larger population
to compare head and neck robotic surgeries with other surgical techniques. | | Numéro (Thèse ou Mémoire) : | M1232022 | | Président : | Mounir KISRA | | Directeur : | Mounir KISRA | | Juge : | Houssain TLIGUI | | Juge : | Hicham ZERHOUNI |
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