Bilateral areolar endoscopic Sistrunk operation: a novel technique for thyroglossal duct cyst surgery

Anuwong, Angkoon; Jitpratoom, Pornpeera; Sasanakietkul, Thanyawat

doi:10.1007/s00464-016-5137-x

Cited by 10 publications

(11 citation statements)

References 18 publications

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“…Therefore, it may result in functional loss of the floor of the mouth muscles. Next, a transoral endoscopic approach using a single long vestibular incision without CO 2 insufflation has been reported 3 . However, this technique needs a 3–4 cm vestibular incision and extensive dissection of the chin area, which might result in mental nerve injury and fibrosis of the chin area.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, endoscopic or robot‐assisted Sistrunk operation was developed using the frenotomy, bilateral areolar, and oral vestibular approaches to hide neck scarring and improve postoperative cosmesis 2–4 . Previously, we reported the early outcomes of robot‐assisted Sistrunk operation using a postauricular facelift approach 5 .…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, endoscopic or robot-assisted Sistrunk operation was developed using the frenotomy, bilateral areolar, and oral vestibular approaches to hide neck scarring and improve postoperative cosmesis. [2][3][4] Previously, we reported the early outcomes of robot-assisted Sistrunk operation using a postauricular facelift approach. 5 The postauricular robotic approach was feasible and successful, without any conversion to a transcervical approach or incomplete removal of the lesions.…”

Section: Introductionmentioning

confidence: 99%

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Transoral robotic excision of thyroglossal duct cyst using vestibular and sublingual incisions

Tae

Kim

2022

Head & Neck

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With the extension of remote‐access head and neck surgery to improve postoperative cosmetic outcomes, a robotic or endoscopic procedure was developed to excise thyroglossal duct cysts (TGDCs). Here, we present the operative procedure of a novel transoral robot‐assisted Sistrunk operation using oral vestibular and sublingual incisions in a 21‐year‐old woman with TGDC. A 1.5‐cm central vestibular incision and two lateral vestibular incisions were made. In addition, a midline vertical sublingual incision was made to cut the hyoid bone via the sublingual route. The surgery was successfully completed without conversion to the conventional transcervical approach. Our technique using three vestibular incisions and a sublingual incision was more efficient in performing the Sistrunk operation than frenulotomy or endoscopic vestibular approaches. In conclusion, the transoral robotic Sistrunk operation using three vestibular incisions and a sublingual incision is feasible and safe and yields excellent postoperative cosmesis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Transoral robotic excision of thyroglossal duct cyst using vestibular and sublingual incisions

Tae

Kim

2022

Head & Neck

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“…One study published by Qu et al (4) presented a study in which they successfully executed the breast approach on 13 patients, but one had an infection, one developed skin bruising, and another had subcutaneous fluid. Anuwong et al(5) also completed this…”

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confidence: 99%

Endoscopic-Assisted Transoral Thyroglossal Cyst Resection

et al. 2022

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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.

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“…OK432, ethanol) have been proposed to achieve better cosmetic results while minimizing surgical risk. [18][19][20][21] The purpose of the present study was to evaluate factors that influence the recurrence rate and cosmetic outcome of surgery, on follow up.…”

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confidence: 99%

Thyroglossal duct cyst: Factors affecting cosmetic outcome and recurrence

Batazzi

Leng

Ghionzoli

et al. 2019

Pediatrics International

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Background: Thyroglossal duct cyst (TDC) is the most common congenital abnormality in the neck in children. The purpose of this study was to perform a comprehensive review of all cases of TDC surgically treated at a single institution and to evaluate the factors that influence the rate of recurrence, and the aesthetic outcome of the surgery on follow up. Methods: All cases of TDC surgically treated at the Department of Pediatric Surgery at Meyer Hospital from January 2005 to December 2016 were selected. Charts from 248 patients were reviewed and risk factors for recurrence evaluated. A questionnaire was submitted to the patients' parents to determine if postoperative complications were present and standardized neck pictures were requested, to evaluate the cosmetic result. Microsoft Office Excel 2007 for Windows and Graphpad Prism 6 were used for data management and statistical analysis. Results: Simple cyst excision and post-inflammatory fibrosis (P < 0.05) were assessed as important risk factors for the recurrence of TDC. Recurrence rate on Sistrunk procedure was 5%. Variables such as post-inflammatory fibrosis before surgery (P < 0.001), the positioning of a drain (P < 0.01) and the development of recurrence (P < 0.001), negatively influenced the cosmetic result. No thyroglossal duct cyst carcinoma and no long-term postoperative complications were observed. Conclusions: Recurrence rates were higher in patients who underwent simple cyst excision instead of the Sistrunk procedure, as already reported in literature. Presence of post-inflammatory fibrosis and positioning of the drain at surgery were associated with higher rates of recurrence, as well as worse cosmetic outcome.

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Bilateral areolar endoscopic Sistrunk operation: a novel technique for thyroglossal duct cyst surgery

Abstract: This novel technique for TGDC Sistrunk surgery using an areolar approach is feasible, safe and effective. The benefit of this technique is the cosmetic result, which leaves no scarring on the neck after wound healing and may provide a new method for optimal aesthetic results.

Cited by 10 publications

References 18 publications

Transoral robotic excision of thyroglossal duct cyst using vestibular and sublingual incisions

Transoral robotic excision of thyroglossal duct cyst using vestibular and sublingual incisions

Endoscopic-Assisted Transoral Thyroglossal Cyst Resection

Thyroglossal duct cyst: Factors affecting cosmetic outcome and recurrence

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