Robot-assisted excision of thyroglossal duct cyst by a postauricular facelift approach.

Lee, Dong Won; Tae, Kyung

doi:10.5114/wiitm.2019.88751

Cited by 7 publications

(5 citation statements)

References 10 publications

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“…Many have reported experience with the transoral endoscopic thyroidectomy vestibular approach (TOETVA), which has been demonstrated to have similar outcomes to the traditional transcervical thyroidectomy 4 . Approaches have similarly been identified to excise TGDCs without leaving an external neck scar, including techniques via transaxillary 7 and postauricular 8 incisions. In 2011, Kim et al reported a transoral Sistrunk procedure using a frenotomy incision without insufflation.…”

Section: Discussionmentioning

confidence: 99%

Transoral endoscopic vestibular approach Sistrunk procedure: First reported case series

et al. 2021

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Background Standard of care for management of thyroglossal duct cysts (TGDCs) is a Sistrunk procedure performed through a transcervical incision. We describe the first series of Sistrunk procedures performed through a transoral endoscopic vestibular approach, eliminating a visible external scar. Methods The transoral endoscopic vestibular approach to the Sistrunk (TEVAS) was performed in patients with TGDCs meeting inclusion criteria who desired a scarless approach. Results Six patients (five females and one male) underwent TEVAS, with a mean age of 38 years (range 16–56 years) and a mean TGDC size of 1.8 cm (range 1.1–2.4 cm). Mean operative time was approximately 5 h (range 2–8 h). There were no surgical complications or recurrences. Conclusions For appropriately selected patients, the TEVAS is an alternative to open neck surgery that provides improved cosmesis while maintaining successful resection outcomes. More data on outcomes including complications and recurrences are needed as additional case information is collected.

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Section: Discussionmentioning

confidence: 99%

Transoral endoscopic vestibular approach Sistrunk procedure: First reported case series

et al. 2021

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“…Recent approaches to TDC surgery such as robot-assisted or endoscope-assisted transoral, retroauricular, and axillary approaches have been described for adult patients. [ 13 14 15 16 ] These approaches promise better cosmesis by avoiding anterior neck incision, but their efficacy compared to the traditional Sistrunk procedure remains a subject of further research.…”

Section: Discussionmentioning

confidence: 99%

Management of thyroglossal cyst in adults: A single-institution experience

et al. 2021

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Objectives: Thyroglossal duct cyst (TDC) is the most common congenital anterior neck mass in clinical practice. Due to its congenital origin, presentation in adulthood is uncommon with only 7% of cases presenting in this age group. Data are therefore limited on the management of TDC in adults, particularly in Sub-Saharan Africa. This study describes the pattern of the presentation and treatment outcomes, following the management of TDC in a series of adults in a Nigerian tertiary hospital. Subjects and Methods: A retrospective review of all adult patients with TDCs over a 5-year period was carried out. Sociodemographic data, operative details, and postoperative outcomes were obtained and presented as descriptive statistics. Results: Seven adult patients, including five males and two females, were managed during the period. Their ages ranged from 19 to 60 years, with a mean of 37 ± 16.4 years. All the patients presented with anterior neck swellings which had been present for a median duration of 3 years. Cysts were located in the infrahyoid position in all instances, and all had Sistrunk operation over a mean operative time of 78 ± 16 min. There were no intraoperative complications. The mean duration of the postoperative stay was 2 days. There was no recurrence after a median follow-up period of 15 months. Conclusion: This study highlights the rarity of TDC in adults and describes a single institution's experience with the management of adult cases of TDC using the classical Sistrunk operation.

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“…In recent years, with the advancement of remote access head and neck surgery, there has been a growing interest in exploring robotic-assisted Sistrunk operations using various external cervical approaches. The commonly utilized external cervical approaches for robot-assisted TGDC resection include the transoral approach ( 22 , 23 ), transoral approach using vestibular and sublingual incisions ( 24 ) and postauricular facelift approach ( 25 ). While all these approaches have been proven to be safe and feasible with excellent postoperative cosmesis, they each come with certain disadvantages.…”

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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Robot-assisted excision of thyroglossal duct cyst by a postauricular facelift approach.

Cited by 7 publications

References 10 publications

Transoral endoscopic vestibular approach Sistrunk procedure: First reported case series

Transoral endoscopic vestibular approach Sistrunk procedure: First reported case series

Management of thyroglossal cyst in adults: A single-institution experience

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

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