Abstract
Sistrunk procedure is the standard method for thyroglossal duct cyst resection. While this procedure is successful and safe, it results in postoperative scars on the front of neck. We propose a total transoral technique without external incision that starts with careful separation of the floor of the mouth and genioglossus muscle followed by the exact localization of the cyst using methylene blue. Simultaneously, the hyoid bone connected to the cyst and tract was removed. Finally, routine hemostasis is conducted, and the operative cavity is closed. All patients who received this operation in our department recovered successfully without experiencing severe intraoperative or postoperative complications.
Highlights
Thyroglossal duct cyst (TGDC) is one of the most commonly observed neck masses in clinical medicine. It is characterized by an active, painless mass in the midline or slightly to one side of the neck, usually located below the hyoid bone, and can move along with the tongue
We employed a cryogenic plasma knife to transect the infrahyoid muscles at a distance of 0.5 cm from the hyoid bone
Considering the author’s experience with endoscopic surgery, none of the 11 patients included in their study experienced postoperative complications, and the operation time was shorter
Summary
Thyroglossal duct cyst (TGDC) is one of the most commonly observed neck masses in clinical medicine. It is characterized by an active, painless mass in the midline or slightly to one side of the neck, usually located below the hyoid bone (about 75% of patients), and can move along with the tongue. This cyst develops embryologically when the thyroid primordium descends from the base of the tongue to its typical location in front of the trachea. Informed consent and ethical review were obtained (IRB number: PJ2021-03-22)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have