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.
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.
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