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Robert A. Mickel, MD, PhD; Thomas C. Calcaterra, MD

Arch Otolaryngol. 1983;109(1):34-36.

Abstract
• In a review of 141 patients with thyroglossal duct cysts between 1961 and 1981, 28 patients were found to have surgical treatment for recurrent cysts and sinuses. Recurrent disease following surgical failure results in a high incidence of fistula formation. In the operative treatment of recurrent disease, all patients had a segment of hyoid bone excised. The dissection was extended to include a core of the base of the tongue in 20 of the 28 patients. There have been no surgical failures in this population of patients treated for recurrent thyroglossal duct cysts. We are currently treating patients with recurrent cysts and sinuses with en bloc anterior neck dissections, a modification of the classic Sistrunk procedure.

(Arch Otolaryngol 1983;109:34-36)

Author Affiliations
From the Division of Head and Neck Surgery, UCLA School of Medicine, Los Angeles.

Footnotes
Accepted for publication May 28, 1982.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Newport Beach, Calif, Jan 23, 1982.

Reprint requests to Division of Head and Neck Surgery, UCLA School of Medicine, Los Angeles, CA 90024 (Dr Calcaterra).

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