Our Summary

This research paper discusses a new method for removing thyroglossal duct cysts (TGDCs), which are common birth defects that appear as lumps in the middle of the neck. The traditional way of removing these cysts involves a surgical cut on the front of the neck, which can leave a visible scar.

The researchers describe a new approach where they used an endoscope (a long, flexible tube with a camera on the end) inserted through the mouth to remove a TGDC and part of the hyoid bone (a horseshoe-shaped bone situated in the anterior midline of the neck between the chin and the thyroid cartilage) in a young patient.

The result was a success, with no complications. The researchers suggest this new method could be a safe way to remove these cysts without leaving a scar on the neck, provided the patients are suitable candidates.

FAQs

  1. What is the traditional method for removing thyroglossal duct cysts (TGDCs)?
  2. Can thyroglossal duct cysts be removed without leaving a neck scar?
  3. What is the success rate of the transoral endoscopic vestibular excision of a TGDC and the associated hyoid bone?

Doctor’s Tip

One helpful tip a doctor might tell a patient about thyroglossal duct cyst removal is to follow post-operative care instructions carefully to promote proper healing and minimize the risk of complications. This may include keeping the surgical site clean and dry, avoiding strenuous activities that could strain the neck area, and taking prescribed medications as directed. Additionally, attending follow-up appointments with your doctor is important to monitor progress and address any concerns that may arise.

Suitable For

Patients who are typically recommended for thyroglossal duct cyst removal include those with symptomatic or recurrent cysts, infected cysts, large cysts causing cosmetic concerns, and cysts that are causing difficulty with swallowing or breathing. In some cases, patients may also opt for removal to avoid an external neck scar, as in the case of the transoral endoscopic vestibular excision described in the study. Ultimately, the decision to remove a thyroglossal duct cyst is made on a case-by-case basis by the treating physician in consultation with the patient.

Timeline

Before thyroglossal duct cyst removal:

  • Patient may notice a painless, midline neck mass that moves with swallowing or protrusion of the tongue
  • Patient may experience occasional drainage or infection of the cyst
  • Patient may undergo imaging studies such as ultrasound or CT scan to confirm the diagnosis
  • Patient may be advised to undergo surgical excision of the cyst and any associated tract and hyoid bone through an anterior neck incision

After thyroglossal duct cyst removal:

  • Patient may experience some pain and swelling at the surgical site
  • Patient may be prescribed pain medications and antibiotics to prevent infection
  • Patient may need to follow up with the surgeon for wound care and removal of any stitches or drains
  • Patient may be advised to avoid strenuous activities and heavy lifting for a period of time
  • Patient may notice improvement in symptoms such as difficulty swallowing or breathing
  • Patient may have a follow-up appointment to ensure proper healing and to monitor for any recurrence of the cyst

What to Ask Your Doctor

  1. What are the risks and potential complications associated with transoral endoscopic vestibular excision of a thyroglossal duct cyst?
  2. How long is the recovery time after this procedure?
  3. Will I need to follow any special post-operative care instructions?
  4. How likely is it that the thyroglossal duct cyst will recur after this type of surgery?
  5. Will I still need to have any follow-up appointments after the cyst is removed?
  6. Are there any alternative treatment options for thyroglossal duct cyst removal?
  7. How experienced are you in performing transoral endoscopic vestibular excision for thyroglossal duct cysts?
  8. What is the success rate of this procedure in terms of completely removing the cyst and associated structures?
  9. Will I experience any changes in my voice or swallowing function after the surgery?
  10. Are there any specific indications or criteria that would make me a good candidate for this type of surgery?

Reference

Authors: Ryan MA, Russell JO, Schoo DP, Upchurch PA, Walsh JM. Journal: Ann Otol Rhinol Laryngol. 2020 Dec;129(12):1239-1242. doi: 10.1177/0003489420936712. Epub 2020 Jun 19. PMID: 32560593