Transoral endoscopic vestibular approach Sistrunk procedure: First reported case series

Banuchi, Victoria E.; Long, Stacey R.; Sachs, Bracha Y; Kostas, Julianna C; Ali, Khalid M; Russell, Jonathon O.

doi:10.1002/hed.26889

Cited by 7 publications

(27 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, this technique needs a 3–4 cm vestibular incision and extensive dissection of the chin area, which might result in mental nerve injury and fibrosis of the chin area. Recently, a transoral endoscopic Sistrunk operation technique using three oral vestibular incisions with CO 2 insufflation was reported 6,7 . The authors used a Sonopet ultrasonic aspirator (Stryker) via the oral port to cut the body of the hyoid.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Transoral robotic excision of thyroglossal duct cyst using vestibular and sublingual incisions

Tae

Kim

2022

Head & Neck

View full text Add to dashboard Cite

With the extension of remote‐access head and neck surgery to improve postoperative cosmetic outcomes, a robotic or endoscopic procedure was developed to excise thyroglossal duct cysts (TGDCs). Here, we present the operative procedure of a novel transoral robot‐assisted Sistrunk operation using oral vestibular and sublingual incisions in a 21‐year‐old woman with TGDC. A 1.5‐cm central vestibular incision and two lateral vestibular incisions were made. In addition, a midline vertical sublingual incision was made to cut the hyoid bone via the sublingual route. The surgery was successfully completed without conversion to the conventional transcervical approach. Our technique using three vestibular incisions and a sublingual incision was more efficient in performing the Sistrunk operation than frenulotomy or endoscopic vestibular approaches. In conclusion, the transoral robotic Sistrunk operation using three vestibular incisions and a sublingual incision is feasible and safe and yields excellent postoperative cosmesis.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Recently, a transoral endoscopic Sistrunk operation technique using three oral vestibular incisions with CO 2 insufflation was reported. 6,7 The authors used a Sonopet ultrasonic aspirator (Stryker) via the oral port to cut the body of the hyoid.…”

Section: Introductionmentioning

confidence: 99%

Transoral robotic excision of thyroglossal duct cyst using vestibular and sublingual incisions

Tae

Kim

2022

Head & Neck

View full text Add to dashboard Cite

show abstract

“…Kim et al (7) and Lee et al ( 8) selected the retroauricular approach, successfully removed TGDC with robot assistance, and the incision can be hidden, but the costs and hardware constraints obstruct wider accessibility. Han et al (9) and Banuchi et al (10) completed the operation by employing the transoral vestibular approach. The former adopts a single incision without insufflation, while the latter adopts the same three incisions with CO 2 insufflation as the vestibular approach for thyroid.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic-Assisted Transoral Thyroglossal Cyst Resection

et al. 2022

View full text Add to dashboard Cite

Sistrunk procedure is the standard method for thyroglossal duct cyst resection. While this procedure is successful and safe, it results in postoperative scars on the front of neck. We propose a total transoral technique without external incision that starts with careful separation of the floor of the mouth and genioglossus muscle followed by the exact localization of the cyst using methylene blue. Simultaneously, the hyoid bone connected to the cyst and tract was removed. Finally, routine hemostasis is conducted, and the operative cavity is closed. All patients who received this operation in our department recovered successfully without experiencing severe intraoperative or postoperative complications.

show abstract

“…As a congenital malformation, it presents in childhood in more than 90% of cases. The most common clinical manifestation is a central lump in the upper anterior neck at the level of the hyoid bone that moves with deglutination and swallowing ( 1 , 2 ). A smaller number of cases present themselves in adulthood.…”

Section: Introductionmentioning

confidence: 99%

“…The differential diagnosis of adults presenting with a central neck mass includes dermoid cyst, epidermoid cyst, lipoma, lymphadenopathy and goiter. Imaging with ultrasound, computed tomography (CT) scan or magnetic resonance imaging (MRI) can confirm the diagnosis ( 2 - 6 ).…”

Section: Introductionmentioning

confidence: 99%

Transoral endoscopic vestibular approach Sistrunk procedure (TEVAS)—case report and scoping review

Nakai,

Tenório,

Oliveira

et al. 2024

Gland Surg

View full text Add to dashboard Cite

Background Thyroglossal duct cyst (TGDC) is the most common congenital neck mass among the pediatric population. Less than 10% of the cases occur in adults. The standard of care for TGDC is surgical treatment with the Sistrunk procedure via a traditional transverse cervicotomy. This technique involves the resection of the cyst with its tract and the central portion of the hyoid bone body to avoid recurrence. The transoral vestibular approach has gained popularity as an alternative approach to open neck surgery in order to eliminate the transcervical scar associated with these procedures. Methods We describe a case of an endoscopic Sistrunk procedure performed by the transoral vestibular approach. A scoping review of the transoral endoscopic vestibular approach Sistrunk procedure (TEVAS) was performed. The PubMed, Medline, Cochrane, Lilacs, Scielo, Mary Ann Libert and Scopus databases were systematically searched by using a Medical Subject Heading (MeSH)-optimized search strategy. The selection of papers followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines after setting inclusion and exclusion criteria. Results The case was successful and without complications. Five studies were included in the final analysis for this review. Conclusions This novel approach to the Sistrunk procedure is an effective alternative way to treat TGDC in selected patients who are motivated to avoid a visible neck scar.

show abstract

Transoral endoscopic vestibular approach Sistrunk procedure: First reported case series

Cited by 7 publications

References 13 publications

Transoral robotic excision of thyroglossal duct cyst using vestibular and sublingual incisions

Transoral robotic excision of thyroglossal duct cyst using vestibular and sublingual incisions

Endoscopic-Assisted Transoral Thyroglossal Cyst Resection

Transoral endoscopic vestibular approach Sistrunk procedure (TEVAS)—case report and scoping review

Contact Info

Product

Resources

About