Endoscopic sistrunk using bilateral axillo-breast approach – A minimal access technique for thyroglossal duct cysts

Balamurugan, G; Bhandarwar, AjayH; Jadhav, Shekhar; Tandur, Amarjeet; Jagdale, Saurabh

doi:10.4103/jmas.jmas_64_22

Cited by 1 publication

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References 5 publications

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“…In order to prevent visible neck scarring, several endoscopic-assisted Sistrunk operations have been attempted and gradually implemented in clinical settings, utilizing approaches such as bilateral axillo-breast approach ( 12 - 14 ), oral vestibular approach ( 15 , 16 ), transoral approach with a frenotomy incision ( 17 ), and bilateral areolar approach ( 18 ). The endoscopic operation has the advantage of preventing neck scarring while ensuring a low recurrence rate ( 19 ).…”

Section: Discussionmentioning

confidence: 99%

Bilateral axillo-breast approach robotic thyroglossal duct cyst resection in an adolescent: a case report and literature review

Chen,

Li,

Cao

et al. 2024

Gland Surg

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Background Thyroglossal duct cyst (TGDC) is a common congenital neck mass that is the most frequent cause of neck swelling in children. The traditional open Sistrunk procedure for TGDC often leaves a visible scar on the neck. Therefore, it is essential to consider the impact of neck scarring on the quality of life for children and adolescents. Our study aimed to assess the safety and efficacy of robotic TGDC resection using the bilateral axillo-breast approach (BABA) in adolescents. Case Description A 16-year-old female patient presented with a neck mass (no pain or redness) that had been present for 3 years. The palpable neck mass moved with swallowing and there was no history of other significant medical conditions. An ultrasound scan of the neck indicated a weak hypoechoic area in the thyrohyoid region measuring 29 mm × 20 mm. Additionally, the ultrasonography of the thyroid gland showed no obvious abnormalities. A computer tomography (CT) scan confirmed a low-density lesion on the right hyoid bone, measuring 27 mm × 18 mm × 26 mm, consistent with a TGDC. We successfully performed a BABA robotic TGDC resection on the 16-year-old female adolescent who had a strong desire for scar-free surgery. Conclusions BABA robotic TGDC resection could achieve the same surgical effect as conventional open surgery while providing better cosmetic outcomes, which are essential for the physical and mental well-being of teenagers. Therefore, BABA robotic TGDC resection may be a safe and feasible treatment option with excellent cosmetic results in adolescents.

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