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

Abstract

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.

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

“…Although rare, a major concern during TNS is CO 2 embolism ( 19 , 20 ), as it can be a lethal complication. It is a very rare occurrence and usually associated with injuring large vessels (such as the anterior jugular veins) while running CO 2 insufflation ( 21 , 22 ).…”

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

“…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.…”