Non-Surgical Treatment for Thyroglassal Duct Cyst with Ethanol Ablation.

Non-Surgical Treatment for Thyroglassal Duct Cyst with Ethanol Ablation.

Non-Surgical Treatment for Thyroglassal Duct Cyst with Ethanol Ablation.

Non-Surgical Treatment for Thyroglossal Duct Cyst with Ethanol Ablation.

Treatment Efficacy and Safety of Ethanol Ablation for Thyroglossal Duct Cysts: A Comparison with Surgery.

Chung MS et al
Eur Radiol. 2016 Dec 12.
358158c079692596036f608e35c9f3_big_gallerymaxresdefault

345 patients (289, surgery; 56, EA) treated for TGDC at four institutions between May 2005 and June 2014. Surgery (whole surgery and Sistrunk operation which is the current standard surgical method) and EA were compared.

EA demonstrated higher treatment failures (19.6% vs. 2.4% and 1.2%, p = 0.004 [Sistrunk operation]. EA had lower complications (1.8% vs. 10.0%, p = 0.04 [whole surgery] and 10.2%, p = 0.06 [Sistrunk operation]), and lower cost. EA achieved 85.7% of treatment success up to second session. The mean volume reduction rate after EA was 82.3% at last follow-up. Young age and EA were correlated with treatment failure.

Both surgery and EA had acceptable treatment efficacy in the management of TGDC. Although there is a higher likelihood of treatment failure with EA, it has a better safety profile than surgery. Both surgery and ethanol ablation show acceptable treatment efficacy for TGDC. • Considering treatment failure, surgery manages TGDC more effectively than EA. • EA is safer than surgery and presents no major complications. •

EA could be an alternative treatment for TGDC in selected patients.

Comment: If you have been nervous about surgery for your TGD cyst, now is the time to see me for ethanol ablation.

Call Matt  for details 310-393-8860

5 Comments
  • Andrew woods November 22, 2017 12:01 pm

    Hi,
    I’m contacting you from the UK, I’ve just had an ultrasound scan done on my neck and the result has come back as a thyroglossal benign cyst to the right of the midline. The mass has a maximum diameter of 3.7cm which extends to the thyroid notch. I have been told that it is most likely a thyroglossal cyst and it should be removed by surgery. I have done some research to see if there is any non surgical treatments and have found some information on ethanol ablation of the cyst. Could you please let me know if this treatment is something that you can offer for this type of cyst.

    Kind regards

    Andrew woods

    • Dr Guttler November 24, 2017 8:13 am

      Hi Andrew,
      Yes TGD cysts can be treated with ethanol if the cysts has been diagnosed without a papillary thyroid cancer in the cyst. Prior to your visit please have a skinny needle biopsy of the solid parts of the cyst.
      If there is no cancer in the cyst wall, you can fly here for a 2 day visit for the treatment.
      If you don’t have a biopsy in the UK then an extra day is needed for the repeat or first biopsy before the treatment with ethanol.
      You are right to seek a non-surgical treatment for this.
      Email Matt at thyroid.manager@protonmail.com for details of the treatment and costs.
      BTY
      I was a Royal Society Traveling Fellow to the
      UK and worked out of Newcastile with the most famous thyroidologists Professor Hall of the time.
      Good luck,

      Dr.G.

    • Dr Guttler November 24, 2017 8:32 am

      Addrew
      2016 review article by my mentor Professor Baek in Seoul Korea. Ethanol is an acceptable alternative to surgery.
      Eur Radiol. 2017 Jul;27(7):2708-2716.

      Baek JH et al

      • Both surgery and ethanol ablation show acceptable treatment efficacy for TGDC. • Considering treatment failure, surgery manages TGDC more effectively than EA. • EA is safer than surgery and presents no major complications. • EA could be an alternative treatment for TGDC in selected patients.

  • Margi Bingley October 30, 2018 8:34 pm

    I wanted my ENT surgeon to do this for my thyroglossal cyst as it is quite small – 19 mm across. He said the ethanol treatment can have dangerous side effects? Is he just chasing a fee for his surgery? Or is that true.

    • Dr Guttler October 31, 2018 11:31 am

      Hi Margi,
      Ethanol ablation is a proven treatment for TGD cysts.It is scare tactic to get you to have surgery.It is not dangerous and has less side effects than surgery. No hospital needed.
      It can be treated without surgery in my center.
      Call me for an evaluation.
      310-393-8860 or email to thyroid.manager@protonmail.com.
      Dr.G.

Add Your Comment

Contact Info
1328 16th Street, Santa Monica, CA 90404
Monday – Friday
9:00 AM to 5:00 PM
(310) 393-8860