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Arch Otolaryngol Head Neck Surg. 1998;124:597-599.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypothesis

All young children requiring thyroglossal duct (TGD) excision should undergo scanning of the thyroid gland prior to surgery.

Figure appears in full text version. David E. Tunkel, MD

BACKGROUND

Thyroglossal duct remnants are the most common midline neck masses in childhood, representing more than 75% of such masses. Surgical treatment with the Sistrunk operation (wide excision of the cyst, duct, central hyoid, and a core of tongue base) remains the standard of care, with a low recurrence rate and minimal morbidity.

Figure appears in full text version. Edgar E. Domenech, MD

Controversy exists over the appropriate preoperative evaluation of children with presumed TGD remnants since postoperative hypothyroidism can occur from inadvertent removal of the only functioning ectopic thyroid tissue. The options for evaluation include the following:

• No preoperative studies
  
• No preoperative studies; look for thyroid gland during surgery
  
• Radioisotope scanning of the thyroid gland for all patients before surgery
  
• Other imaging modalities, such as ultrasonography, computed tomography, or magnetic resonance imaging
  
• Radioisotope scanning . . . [Full Text of this Article]

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Radioisotope Scanning of the Thyroid Gland Prior to TGD Cyst Excision: Academic vs Actual Treatment
Ellen M. Friedman
Arch Otolaryngol Head Neck Surg. 1998;124(5):600.
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Radioisotope Scanning of the Thyroid Gland Prior to TGD Cyst Excision: Commentary
Orval E. Brown
Arch Otolaryngol Head Neck Surg. 1998;124(5):600-601.
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Preoperative Sonography in Presumed Thyroglossal Duct Cysts
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