Endoscope-assisted intra-oral resection of the external thyroglossal duct cyst.

Abstract

OBJECTIVE:

Surgical removal of a thyroglossal duct cyst (TGDC) and its tract is usually accomplished through an external neck incision, including the removal of the middle part of hyoid bone and a block of tissues extending to the foramen cecum. However, this procedure inevitably results in neck scarring. We implemented a modified approach to TGDC removal in a 28-year-old woman through the floor of the mouth using an endoscope system.

CASE REPORT:

Here, we describe the detailed procedure of the endoscope-assisted intra-oral resection for TGDC. The total operative time was 130 minutes. The patient complained of swelling and pain in the floor of the mouth for 2 days, but did not require any intervention. Follow-up imaging studies confirmed no recurrence (18 months) without any sequelae, and the patient was satisfied with her surgical outcome.

CONCLUSION:

The intra-oral approach through the floor of the mouth is a technically feasible alternative surgical option that allows for complete removal of a TGDC without the neck scar.

• Authors: Yoon Kyoung So, Jong In Jeong, Hye-Youn Youm, Han-Sin Jeong
• Journal: American journal of otolaryngology (Am J Otolaryngol) 2011 Jan-Feb Vol. 32 Issue 1 Pg. 71-4 ISSN: 1532-818X [Electronic] United States
• PMID: 20015807 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2011 Elsevier Inc. All rights reserved.

Topics

• Adult
• Endoscopy
• Female
• Humans
• Mouth
• Thyroglossal Cyst (surgery)