• Asma A Alahmadi, Osama A Bawazir, Mohannad K Rajab, Ibtihal A Althobaiti, Abdullah O Bawazir, Firas R Abi Sheffah, Anas H Al-Tammas, Osama A Marglani, John C Heaphy, and Ameen Z Alherabi.
• Department of Otolaryngology-Head & Neck Surgery, King Faisal Specialist Hospital & Research Centre, Jeddah, Kingdom of Saudi Arabia. E-mail. asma0alahmadi@yahoo.com.
• Saudi Med J. 2020 Aug 1; 41 (8): 878882878-882.

AbstractTo present experiences of different specialties in the treatment of thyroglossal duct cysts (TGDCs) and subsequent complications in multiple centers.  Methods: A retrospective cross-sectional study of all cases of TGDC for a period of 11 years from 2008-2019 by different departments from 3 different centers in Jeddah, Kingdom of Saudi Arabia (King Faisal Specialist Hospital and Research Centre, Bakhsh Hospital and International Medical Center). Results: Forty-nine patients were included. The type of surgery performed plays a significant role in recurrence (p less than 0.001). The Sistrunk procedure had a lower recurrence rate (0%) than simple excision (70%) and has showed a significantly long recurrence-free interval (p less than 0.001). Higher recurrence rates are associated with higher postoperative complications (p=0.002). Patients who underwent pre-operative fine needle aspiration did not have any recurrence during the follow-up period. Conclusion: The Sistrunk procedure is the gold standard technique with the highest recurrence-free interval rate. Fine needle aspiration could be recommended as a less invasive procedure to exclude malignancy.

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