ABSTRACT
To evaluate recurrence after surgery for thyroglossal duct cyst (TDC) we performed a retrospective chart review. Seventy four patients between 0.5 and 8.5 years of age presenting with a midline neck cyst underwent a Sistrunk procedure for a preoperative diagnosis of TDC. Fifty-seven had histologically confirmed TDC (mean age of the population: 4+/-1.5 years, mean follow-up: 6 years and 8 months). Recurrence occurred in 15% of the cases of histologically confirmed TDC. Four individual risk factors have been identified: number of infection before surgery [more than 2 episodes (P<0.05)]; preliminary surgical procedure (P<0.05); age [less than 2 years (P<0.05)] and multicystic lesion on histopathology (P<0.01). The two first factors being correlated, the risk of relapse might be lowered by a wide excision performed before any infection in children over 2 years.
Subject(s)
Surgical Procedures, Operative/methods , Thyroglossal Cyst/surgery , Child, Preschool , Female , Humans , Infant , Male , Postoperative Complications , Recurrence , Retrospective Studies , Risk Factors , Thyroglossal Cyst/diagnostic imaging , Thyroglossal Cyst/pathology , UltrasonographySubject(s)
Abscess/diagnosis , Ethmoid Sinusitis/complications , Magnetic Resonance Imaging , Meningitis, Bacterial/diagnosis , Orbital Diseases/diagnosis , Abscess/etiology , Child , Ethmoid Sinusitis/diagnosis , Frontal Sinusitis/complications , Frontal Sinusitis/diagnosis , Humans , Male , Meningitis, Bacterial/etiology , Orbital Diseases/etiologyABSTRACT
Gradenigo syndrome consists of the association of otitis media, facial pain in regions innervated by the first and second division of trigeminal nerve and abducens nerve paralysis. It is caused by osteitis of the petrous apex (PA) and is a very rare complication of otitis media. Its treatment usually consists in mastoidectomy and antibiotics. We report a case of a 6-year-old child, which was managed medically with a positive outcome.