Transoral Sistrunk Procedure

Thyroglossal duct cyst (TDC) is a cystic expansion of a remnant of the thyroglossal duct tract. Carcinomas in the TDC are extremely rare and are usually an incidental finding after the Sistrunk procedure. In this report, an unusual case of a 36-year-old woman with concurrent papillary thyroid carcinoma arising in the TDC and on the thyroid gland is presented, followed by a discussion of the controversies surrounding the possible origins of a papillary carcinoma in the TDC, as well as the current management options.

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Thyroglossal cyst in elderly: a rare cause of inspiratory stridor

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20213907 ◽

2021 ◽

Vol 7 (10) ◽

pp. 1693

Author(s):

Animesh Agrawal ◽

Nitish Baisakhiya ◽

Harshita Sharma

Keyword(s):

Close Relation ◽

The Elderly ◽

Age Group ◽

Neck Swelling ◽

Thyroglossal Cyst ◽

Elderly Age ◽

Anterior Neck ◽

Inspiratory Stridor ◽

Sistrunk Procedure ◽

Lying Down

<p class="abstract">Thyroglossal cyst is the most common congenital anterior neck swelling in childhood. Commonly present as painless swelling in the 2nd decade of life but the cases are reported in the elderly age group also. It represents the persistent epithelial tract from the foramen cecum to the thyroid gland. Clinically can be diagnosed and can be differentiated with other mid-line swelling by movement with the protusion of tongue. It is usually related to the hyoid bone and may be supra-hyoid, infra-hyoid, lower part of the midline or rarely lingual in position. Ultrasonography is the investigation of choice for this cystic condition. It is safe, economical and easily available investigation among all the radiological study. MRI is helpful to diagnose cervical extension and lingual cyst. Inspite of close relation to the laryngeal structure it rarely present as laryngeal mass and causes stridor or sleep apnea as in our case. Classic Sistrunk procedure is the treatment of choice for the condition. Endoscopic CO2 Laser is useful in situation where only intraoral cyst present without cervical extension. Marsupialization is reserved for lingual cyst especially in Neonate. We are reporting this case which was present in the elderly and reported with long standing anterior neck swelling with inspiratory stridor on lying down position.</p>

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Excision of thyroglossal duct cyst: The Sistrunk procedure

Operative Techniques in Otolaryngology-Head and Neck Surgery ◽

10.1016/j.otot.2004.05.001 ◽

2004 ◽

Vol 15 (3) ◽

pp. 220-223 ◽

Cited By ~ 8

Author(s):

Gisela Wagner ◽

Jesus E. Medina

Keyword(s):

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Sistrunk Procedure

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Thyroglossal duct cyst anterior to the sternum: a novel presentation of a common lesion

BMJ Case Reports ◽

10.1136/bcr-2020-236515 ◽

2020 ◽

Vol 13 (11) ◽

pp. e236515

Author(s):

Jordan Whitney Rawl ◽

Nicholas Armando Rossi ◽

Matthew G Yantis ◽

Wasyl Szeremeta

Keyword(s):

Hyoid Bone ◽

Neck Mass ◽

Thyroglossal Duct Cyst ◽

Tongue Protrusion ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Neck Masses ◽

Close Proximity ◽

Sistrunk Procedure ◽

Thyroglossal Duct Cysts

Thyroglossal duct cysts (TDCs) arise in roughly 7% of the general population and are typically diagnosed in childhood within the first decade of life. Typically, patients present with a painless, midline neck mass in close proximity to the hyoid bone which classically elevates with deglutition and tongue protrusion. We present a case of TDC found anterior to the sternum, a major deviation from the classical understanding of this lesion. The patient was treated successfully with modified Sistrunk procedure. This case underscores the need for clinicians to maintain a wide differential while working up paediatric patients presenting with neck masses. Furthermore, we emphasise that TDC must always be considered in cases of midline paediatric neck masses, even when found in unusual locations such as presented here.

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Sistrunk Procedure on Malignant Thyroglossal Duct Cyst

Case Reports in Oncological Medicine ◽

10.1155/2020/6985746 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Diani Kartini ◽

Sonar S. Panigoro ◽

Agnes S. Harahap

Keyword(s):

Rare Event ◽

Needle Aspiration ◽

Neck Mass ◽

Cystic Mass ◽

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Microscopic Appearance ◽

Thyroglossal Duct ◽

Normal Limits ◽

Sistrunk Procedure

A thyroglossal duct cyst is a lesion that occurs as a result from failure of the thyroglossal duct to obliterate during fetal development. Malignant progression is a rare event that might occur in less than 1% of all cases. Because of its rarity, there are conflicting opinions regarding the management of the case. In the present study, a 46-year-old male presented with a painless neck mass that had increased in size over the last 6 months. There was no difficulty in swallowing and breathing, change in voice, significant weight loss, or any signs of hyperthyroidism. Laboratory workup showed that results were within normal limits. Thyroid gland ultrasonography and cervical contrast CT scan revealed a complex cystic mass that pointed towards a thyroglossal duct cyst. We performed Sistrunk procedure. Postoperative pathology examination revealed microscopic appearance of the thyroglossal duct cyst with a classic follicular variant of papillary thyroid carcinoma. Our latest follow-up showed no signs of tumor recurrence or any complications following surgery on locoregional status. As a fine needle aspiration biopsy cannot ensure a precise result in all of cases, it is essential to perform a solid physical examination and thorough supporting examination in deciding the precise management for the patient.

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Modified Sistrunk Procedure: A Novel Method of Hyoid Resection using Skin Punches in Subhyoid Thyroglossal Cysts

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1240 ◽

2016 ◽

Vol 8 (3) ◽

pp. 97-100

Author(s):

Sudhir Naik ◽

BL Yatish Kumar ◽

S Ravishankara ◽

T Shashikumar ◽

RM Deekshith

Keyword(s):

Slight Modification ◽

Surgical Excision ◽

Complete Removal ◽

Tongue Base ◽

Duct Cyst ◽

Cyst Excision ◽

Incomplete Removal ◽

Sistrunk Procedure ◽

Novel Method ◽

Sistrunk Operation

ABSTRACT Background/objectives Managing thyroglossal duct cyst requires surgical excision of the cyst with its tract through the tongue base. Incomplete removal results in cyst recurrence, the common complications of incompletely performed Sistrunk procedure. The Modified Sistrunk procedure using skin punches increases the easiness of surgery and chances of complete removal of the tract. Materials and methods Resection of the middle body of the hyoid was done by coring out the nonossified bone with 4.5 mm skin punches under 3.5× loupes and the tract above till the base. Results A total of 14 primary cases were operated by this slight modification, and no recurrences were seen on 1 year of follow-up. Conclusion Sistrunk operation is the treatment of choice for primary thyroglossal cysts. Modified Sistrunk operation using skin punches results in easy and precise coring of the hyoid bone with the tract attached to it. Secondary cysts should be treated with removal of core of tongue base muscle and foramen cecum mucosa along with hyoid and scarred cyst excision. How to cite this article Naik SM, Kumar BLY, Ravishankara S, Shashikumar T, Deekshith RM. Modified Sistrunk Procedure: A Novel Method of Hyoid Resection using Skin Punches in Subhyoid Thyroglossal Cysts. Int J Otorhinolaryngol Clin 2016;8(3):97-100.

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