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A Rare Presentation of Synchronous Thyroglossal Cyst and Branchial Cyst in an Adult Male Patient.

Cureus

November 2024

Otolaryngology - Head and Neck Surgery, Shri B.M. Patil Medical College, Hospital and Research Centre, Vijayapura, IND.

The most common congenital cervical masses are thyroglossal cysts followed by branchial cleft anomalies. However, their synchronous presentation is uncommon. A man in his early thirties visited our ear, nose, and throat (ENT) outpatient department (OPD) with complaints of a three-month history of right-side neck swelling.

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Thyroglossal duct cysts (TGDCs) are typically located in the midline of the neck. Carcinomas arising within these cysts are extremely rare, with papillary carcinoma being the most common type. Diagnosis is generally confirmed postoperatively following excision.

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A century ago, W.E. Sistrunk described a surgical technique still relevant today.

Eur Ann Otorhinolaryngol Head Neck Dis

December 2024

Service ORL-CCF, CHU de Grenoble-Alpes (CHUGA), Grenoble, France; Secteur santé, université Grenoble-Alpes (UGA), Grenoble, France.

Research and knowledge in human embryology greatly progressed during the second half of the 19th century. This allowed optimization of surgical treatment of branchial deformities and cervical cysts in the light of their embryological development. In 1920, Walter Ellis Sistrunk described an embryologically-based technique for resection of thyroglossal duct fistulae and cysts.

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Background: The coronavirus disease 2019 (COVID-19) pandemic affected quality improvement work that was key to hospital-acquired infection (HAI) prevention efforts for many hospitals. Central line-associated bloodstream infection (CLABSI) standardized infection ratios (SIRs) were highly affected by the pandemic.

Methods: After seeing an increase in CLABSI SIRs through early 2021, a health care system including 12 acute care hospitals in the midwestern United States focused on processes and process measures for CLABSI prevention.

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Sistrunk procedure is the treatment for thyroglossal duct cysts (TGDC), the majority of which occur in children. TGDC are very rare in the elderly and account for under 2% of cases. Management in this population, where risks of surgery may outweigh benefits, is unclear.

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