Posterior hyoid space as related to excision of the thyroglossal duct cyst

Maddalozzo, John; Alderfer, Jeremy; Modi, Vikash K.

doi:10.1002/lary.21043

Cited by 38 publications

(31 citation statements)

References 11 publications

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“…This study represents the largest histologic series in children to determine this, including cases of both primary and revision procedures. These results reaffirm that to minimize persistence following a primary procedure, tissue superior to the hyoid bone should be removed routinely—even if no gross disease is noted at the time of surgery, as initially described by Sistrunk and confirmed by Maddalozzo et al…”

Section: Discussionsupporting

confidence: 65%

“…Persistent disease following a primary procedure to excise a TGDC is frustrating to both the surgeon and the patient and their parent/guardian, who must now entertain a second general anesthetic and a second, more extensive surgical procedure, not to mention the increased healthcare costs to treat this disease. Maddalozzo et al have proposed that persistence is due to either incomplete resection of the hyoid bone and/or the presence of multiple microscopic tracts in the suprahyoid region . Others have suggested that the infrahyoid area is a site of persistent disease .…”

Section: Discussionmentioning

confidence: 99%

“…Others have suggested that the infrahyoid area is a site of persistent disease . In order to address these specific areas, a number of modified procedures have been described …”

Section: Discussionmentioning

confidence: 99%

“…The reason for persistence most likely is incomplete excision of disease. Maddalozzo et al proposed that persistence is due to either incomplete resection of the hyoid bone and/or the presence of multiple microscopic tracts in the suprahyoid region . They further stated that the presence of suprahyoid microscopic tracts cannot be predicted.…”

Section: Introductionmentioning

confidence: 99%

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The incidence of microscopic thyroglossal duct tissue superior to the hyoid bone

Garcia

Osterbauer²,

Parham

et al. 2018

The Laryngoscope

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Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

“…Others have suggested that the infrahyoid area is a site of persistent disease . In order to address these specific areas, a number of modified procedures have been described …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The incidence of microscopic thyroglossal duct tissue superior to the hyoid bone

Garcia

Osterbauer²,

Parham

et al. 2018

The Laryngoscope

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“…Habitualmente, la PCT se presenta como una tumoración en el área perihioidea (98%), 5 renitente, adherida a planos superficiales, que asciende con la deglución, y el diagnóstico es fundamentalmente clínico. Otra forma de presentación es un orificio en la línea media, a través del cual puede salir material mucoso.…”

Section: Discussionunclassified

Experiencia en el manejo de la patología del conducto tirogloso: serie de casos

et al. 2016

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Arch Argent Pediatr 2016;114(5):e310-e313 / e310Presentación de casos clínicos RESUMEN La patología del conducto tirogloso constituye la segunda anomalía cervical benigna más frecuente en la infancia. El diagnóstico es principalmente clínico. Sistrunk fue quien describió la técnica quirúrgica considerada de elección para el tratamiento definitivo de esta patología. INTRODUCCIÓNLa patología del conducto tirogloso (PCT) constituye la segunda anomalía cervical benigna más frecuente en pediatría, luego de las adenopatías, que representan el 70%-75%. 1,2El esbozo de la glándula tiroides aparece en la 4 ta semana de gestación. 3 Durante su descenso hasta la porción baja del cuello, el esbozo medial se elonga y forma el conducto tirogloso (CT). Su involución se completa entre la 7 ma y la 10 ma semana. 1 La falta de obliteración del CT antes de la formación mesodérmica del hueso hioides deviene en su persistencia.2 La PCT puede encontrarse en cualquier punto del trayecto de migración del primordio desde el foramen ciego en la lengua hasta el istmo de la glándula tiroides. 4 Cuando se localiza sobre el cartílago tiroideo, generalmente, se encuentra lateralizado, más frecuente a la izquierda.Según la relación con el hioides, el quiste puede encontrarse suprahioideo (23%), en la región hioidea (60%) (anterior o posterior a él) o infrahioideo (13%). Los quistes intralinguales representan el 3%.2 Las variantes anatómicas, en la literatura, se mencionan como reporte de casos, y no se puede establecer su verdadera incidencia. Se destacan, además del quiste intralingual, la comunicación con el lóbulo piramidal de la tiroides y la fusión tirohioidea. En ocasiones, puede infectarse y es necesaria antibioticoterapia y/o drenaje previo al tratamiento definitivo. POBLACIÓN Y MÉTODOSEstudio descriptivo retrospectivo. Se incluyeron pacientes de entre 0 y 18 años de edad, con diagnóstico histopatológico de PCT, operados en el Servicio de Cirugía Pediátrica del Hospital Italiano de Buenos Aires entre junio de 2008 y agosto de 2015. Se revisaron las bases de datos y las historias clínicas electrónicas. Se analizaron las siguientes variables: sexo, edad, infección preoperatoria, porcentaje de recidiva, estudios complementarios, técnica quirúrgica, estadía posoperatoria y variantes anatómicas. Nuestro protocolo diagnóstico se basa en el examen físico y la ecografía en todos los pacientes.

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A new endoscopic surgical approach to the larynx, hypopharynx, and neck lymphatics: The robotic‐assisted extended “Sistrunk” approach (RESA)

et al. 2020

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Background We report on the feasibility of a novel robotic‐assisted extended “Sistrunk” approach (RESA) to the larynx, hypopharynx, and lateral neck lymphatics. Methods Studies were performed using the da Vinci Xi and SP system on three cadavers comprising of three supraglottic laryngectomies, one partial hypopharyngectomy, and four lateral level II to IV neck dissections. Results In all resections at first a central common working space overlying the hyoid bone was created. The da Vinci Xi system was used with two vestibular and two submental ports for laryngeal/hypopharyngeal resections, and an additional port through a facelift incision for level II to IV neck dissections. The da Vinci SP system was used with only one submental port. Conclusions We describe herein a novel endoscopic robotic approach to the larynx, hypopharynx, and neck based on the traditional “Sistrunk” procedure. The technique should help improving exposure of the primary lesion and reduce access‐related morbidity to the neck.

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Posterior hyoid space as related to excision of the thyroglossal duct cyst

Abstract: The technique of applying the concept of a PHS to ensure the complete resection of the middle third of the hyoid bone and offending tissues is believed to decrease recurrence of TGDC secondary to incomplete resection in the perihyoid area.

Cited by 38 publications

References 11 publications

The incidence of microscopic thyroglossal duct tissue superior to the hyoid bone

The incidence of microscopic thyroglossal duct tissue superior to the hyoid bone

Experiencia en el manejo de la patología del conducto tirogloso: serie de casos

A new endoscopic surgical approach to the larynx, hypopharynx, and neck lymphatics: The robotic‐assisted extended “Sistrunk” approach (RESA)

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