4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
What are the indications for surgery of throgolssal cyst? Up to what age it can be done? What are the success or complication rate?
Answer
Throgolssal cyst if left alone can lead to thyroid dysfunction, infection and carcinoma. Fifty percent of these will recur if you only do simple excision alone. In 1893, Schlein proposed excision of the hyoid bone, the central portion of the hyoid bone based on the embryology of the gland. That dropped recurrence to 20%. In 1920, Dr. Walter Ellis Sistrunk produced a landmark article in which he described the Sistrunk procedure that includes dissection of the hyoid bone and the base of the tongue, and is still the procedure used today.
Age was a positive risk factor in that if a patient was older than two years, they had a significantly lower recurrence rate than more than two years old at time of presentation and operation.
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Educational Section
 
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