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Research ArticleHead and Neck Imaging

Efficacy and Safety of Ethanol Ablation for Thyroglossal Duct Cysts

S.M. Kim, J.H. Baek, Y.S. Kim, J.Y. Sung, H.K. Lim, H. Choi and J.H. Lee
American Journal of Neuroradiology February 2011, 32 (2) 306-309; DOI: https://doi.org/10.3174/ajnr.A2296
S.M. Kim
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J.H. Baek
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Y.S. Kim
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J.Y. Sung
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H.K. Lim
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H. Choi
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J.H. Lee
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    Fig 1.

    A 41-year-old woman (patient 10). Axial (A) and longitudinal (B) sonograms show the TGDC in a suprahyoid location (2.0 × 2.3 × 3.1 cm; volume, 7.46 mL) filled with fluid. Axial (C) and longitudinal (D) sonograms obtained 13 months after EA show marked shrinkage of the TGDC. (0.35 × 0.6 × 0.76 cm; volume, 1.08 mL; volume reduction, 85.5%)

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    Fig 2.

    A 39-year-old woman (patient 11). Axial (A) and longitudinal (B) sonograms show a multiloculated TGDC in an infrahyoid location (1.2 × 2.0 × 2.2; volume, 2.76 mL). Sagittal CT scan (C) shows that the TGDC wraps around the hyoid bone (arrows). Axial (D) and longitudinal (E) sonograms and a sagittal CT scan (F) obtained 11 months after EA. Arrowheads indicate shrinkage of the TGDC (0.66 × 0.85 × 1.18; volume, 0.35 mL; volume reduction, 87.5%).

Tables

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    Table 1:

    Summary of initial characteristics, locations, and changes of TGDCs before and after the procedure

    No.SexAge (yr)LocationIndex V (mL)Aspiration V (mL)V of Ethanol (mL)Treatment SessionsVol (mL) at Follow-UpVR (%)
    0–6 Months7–12 Months12–29 MonthsLast
    1F30Suprahyoid4.834310.080.0898.3
    2M40Suprahyoid0.670.50.130.440.280.2858.0
    3F35Suprahyoid0.690.50.310.430.010.0198.2
    4F44Suprahyoid1.4310.220.581.000.800.8043.9
    5F30Infrahyoid2.0420.5100100.0
    6F30Infrahyoid4.152121.280.410.270.2793.5
    7M23Suprahyoid1.3910.210.440.710.7148.8
    8F33Suprahyoid11.238410.040.0499.7
    9M39Combined29.3925101NANA
    10F41Suprahyoid7.463212.621.081.0885.5
    11F39Infrahyoid2.763111.620.350.3587.5
    Mean34.9 ± 6.36.0 ± 8.44.6 ± 7.12.0 ± 2.91.4 ± 0.70.95 ± 0.940.50 ± 0.270.45 ± 0.420.3 6± 0.3881.3 ± 22.3
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    Table 2:

    Therapeutic efficacy by symptom scores and cosmetic scores, before and after the procedurea

    NoInitial ScoreLast Score
    SymptomCosmeticSymptomCosmetic
    15411
    23423
    33401
    43413
    54301
    65401
    73432
    85401
    95401
    105401
    113411
    Mean4.0 ± 1.03.9 ± 0.30.7 ± 1.01.5 ± 0.8
    • a Patients rated symptom scores on a visual analog scale of 0–10. Physicians evaluated the cosmetic grade as grade 1, no palpable mass; grade 2, invisible but palpable mass; grade 3, mass visible only to an experienced clinician; and grade 4, easily visible mass. Initial status versus last examination of symptom scores (P = .005). Initial status versus last examination of cosmetic grades (P = .003).

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American Journal of Neuroradiology: 32 (2)
American Journal of Neuroradiology
Vol. 32, Issue 2
1 Feb 2011
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Cite this article
S.M. Kim, J.H. Baek, Y.S. Kim, J.Y. Sung, H.K. Lim, H. Choi, J.H. Lee
Efficacy and Safety of Ethanol Ablation for Thyroglossal Duct Cysts
American Journal of Neuroradiology Feb 2011, 32 (2) 306-309; DOI: 10.3174/ajnr.A2296

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Efficacy and Safety of Ethanol Ablation for Thyroglossal Duct Cysts
S.M. Kim, J.H. Baek, Y.S. Kim, J.Y. Sung, H.K. Lim, H. Choi, J.H. Lee
American Journal of Neuroradiology Feb 2011, 32 (2) 306-309; DOI: 10.3174/ajnr.A2296
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