Thyroglossal Cyst and Fistula: Surgical pitfalls and causes of recurrence

Background: The thyroglossal duct cyst (TDC) results from a failure of complete obliteration of thyroglossal duct. It represents the most common type of developmental cyst seen in the neck region. Objective: Evaluate our experience in the management of primary and recurrent thyroglossal cyst and fistula and to determine the role of pre- and postoperative infection as an important factor associated with thyroglossal duct recurrence after surgery. Methods: During the period from January 2013- April 2014, in General and Pediatric Surgery Department, 50 patients with thyroglossal duct cyst (35 patients) and fistulae (15 patients) were diagnosed and treated. All records were reviewed for age and sex, diagnostic methods, surgical management and postoperative infection and recurrences. Results: The recurrence rate was high in cases with infection occurred preoperative or postoperative. Conclusion: Infection very important leading factor for recurrence of thyroglossal cyst.