In this video Dr. Shawn Ciecko MD explains what a thyroglossal cyst is and how the cyst can be removed with surgery.
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Learn About the Thyroglossal Cyst in Children Male: Sometimes you feel a mass in the middle part of the neck and at times it moves, what is it called? Shawn C. Miecko: There is an entity called the thyro-glossal duct cyst and that’s a mass found in children and the pediatric population. What it's caused by is embryologic development, when the body is forming. The thyroid gland, it sits here low on the neck is actually in embryologic stages at the back of the tongue. Over time, that thyroid gland descends from the back of the tongue into its native position in the neck. The tract or the pathway that it takes to go down the neck, often times will have a slight anatomical remnant that’s there, something that’s still left. That can form a cyst. If that happens, you can have a protrusion in the center part of the neck. You can have a lump at the center of the neck that you’ll see. Male: How does that fixed? Shawn C. Miecko: Thyro-glossal duct cysts are removed surgically. One of the important things to determine is whether or not the child has their native thyroid gland and if the thyroid gland is still in place and functional prior to doing that. Back a long time ago, many, many years ago, the cyst was just removed on its own. That’s all that they did. They had a very high recurrence rate, about 50% of the time the cyst would recur. In recent ages, we’ve developed a technique called the Sistrunk's Procedure. That is where you move the cyst itself, the thyro-glossal duct cyst and a small portion of the hyoid bone which is a bone that sits here in the neck. That’s decreased the recurrence rate from 50% down to about 2% Male: So, we’re getting better at what we do? Shawn C. Miecko: We are.
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