Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume 20, Issue 4 , Pages 256-259, December 2009

Thyroglossal duct cyst excision—The Sistrunk procedure

  • Hernan Goldsztein, MD
    • ,
  • Andleeb Khan, MD
    • ,
  • Kevin D. Pereira, MD, MS (ORL)

      Affiliations

    • Corresponding Author InformationAddress reprint requests and correspondence: Kevin D. Pereira, MD, MS (ORL), Department of Otolaryngology—Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD

Department of Otolaryngology—Head and Neck Surgery, University of Maryland, School of Medicine, Baltimore Maryland

Thyroglossal duct cyst (TGDC) excision is the most common midline congenital malformation of the neck. It results from incomplete involution of the thyroglossal duct, which connects the base of tongue to the thyroid. Since the adoption of the Sistrunk procedure, the rate of recurrence has been dramatically reduced. Pitfalls during the procedure are not removing the central portion of the hyoid bone and a cuff of tissue along the tract of the TGDC. Careful dissection and attention not to deviate from the midline avoid injury to the hypoglossal nerve.

Keywords: Thyroglossal duct cyst, Sistrunk, Congenital neck mass

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PII: S1043-1810(09)00053-0

doi:10.1016/j.otot.2009.09.001

Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume 20, Issue 4 , Pages 256-259, December 2009

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