Thyroglossal anomalies

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[center]Sistrunk Procedure (Thyro-glossal Cyst Excision). Dr Tamer Ashraf Wafa,PhD, MRCS. see in next post[/center]

Any one want a high quality PDF of this chart, post in this thread and use a personalized picture as an avatar, I will send it to you in a private message Edit: available without restrictions

A 14-year old girl underwent incision & drainage of a midline neck abscess 2 months prior by another surgeon. The site has not healed (shown), and intermittently drains small amounts of thick fluid. Exam shows no redness, tenderness or neck mass. What do you do next?

see video link in. second post

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[size=20px]A four-year old child undergoes a Sistrunk procedure for resection of a thyroglossal duct cyst. Four months postoperatively a mass is again present in the upper midline of the neck. Which of the following is the best predictor for recurrence of thyroglossal duct tissue following a Sistrunk procedure? A use of a drain at the initial resection B intraoperative rupture of cyst C postoperative infection D preoperative infection E patient age[/size]

[size=20px]A 10-year old girl has a recurrent thyroglossal duct cyst six months after excision. Which reoperative approach for recurrent thyroglossal duct cyst has the highest recurrence rate? A repeat Sistrunk operation B en bloc neck dissection C suture guided transhyoid pharyngotomy D Koempel suprahyoid frenulotomy technique[/size]