THYROGLOSSAL SINUS

DEMOGRAPHIC AND ANATOMICAL FEATURES OF THYROGLOSSAL SINUS

Abstract

Objective: To assess demographic and anatomical features of thyroglossal sinus. Design: Descriptive. Setting: ENT department Allied Hospital Faisalabad. Period: From Jan 2005 to June 2010. Material and Methods: The patients were admitted through ENT out patient department. The data was collected on the basis of history, physical examination, investigations, management and follow up. Results: Total 60 patients 35 males (58%) and 25 females (42%). The majority of patients were from second decade of life 28 (47%). The most common location of thyroglossal sinus was thyrohyoid 55 (92%). The etiology of of thyroglossal sinus in majority of cases was iatrogenic 50 (83%). The common clinical presentation was discharging sinus in the neck 60 (100%). The histological diagnosis in all the cases was benign 60 (100%).All the patients were managed by Sistrunks operation 60 (100%).The recurrence was seen in 4 cases (07%). The incidence of thyroid carcinoma was 00%. Overall success rate was 93%. Conclusions: The prevalence of thyroglossal sinus is quite considerable. The majority of cases are iatrogenic which means that more awareness is required about diagnosis and proper management of thyroglossal cyst. The incision and drainage of thyroglossal cyst should be avoided to prevent the development of thyroglossal sinus. In all the cases the specimen should be sent for histopathology to rule out the thyroid carcinoma.