Transoral robotic excision of a lingual thyroglossal duct cyst

被引:9
作者
Fong S. [1 ]
Hodge J.-C. [1 ]
Foreman A. [1 ]
Krishnan S. [1 ]
机构
[1] Department of Otolaryngology Head and Neck Surgery, Royal Adelaide Hospital, North Terrace, Adelaide, 5000, SA
关键词
Natural orifice surgery; Thyroglossal duct cyst; Tongue base; Transoral;
D O I
10.1007/s11701-017-0713-1
中图分类号
学科分类号
摘要
Lingual thyroglossal duct cysts are a rare and potentially difficult to manage tongue base lesion. We report a case of transoral robotic surgical excision of a lingual thyroglossal duct cyst, in an adult patient. A 68-year-old man presented with a large base of tongue mass, with appearance on ultrasound and computed tomography consistent with a lingual thyroglossal duct cyst. We describe the surgical technique for transoral robotic excision of the cyst. The cyst was completely excised, and the patient had a smooth recovery. There has been no recurrence of the cyst. Transoral robotic surgery has several advantages over the conventional surgical approaches in the treatment of lingual thyroglossal duct cysts, including superior visualisation, and the ability of the robotic surgical system to manoeuvre instruments in a confined space. This enables complete excision, preventing recurrence of the cyst whilst also avoiding a neck scar. © 2017, Springer-Verlag London.
引用
收藏
页码:357 / 360
页数:3
相关论文
共 15 条
[1]  
LaRiviere C.A., Waldhausen J.H.T., Congenital cervical cysts, sinuses, and fistulae in pediatric surgery, Surg Clin North Am, 92, 3, pp. 583-597, (2012)
[2]  
Sameer K.S., Mohanty S., Correa M.M., Das K., Lingual thyroglossal duct cysts—a review, Int J Pediatr Otorhinolaryngol, 76, 2, pp. 165-168, (2012)
[3]  
Wagner G., Medina J.E., Excision of thyroglossal duct cyst: the Sistrunk procedure, Oper Tech Otolaryngol Head Neck Surg, 15, 3, pp. 220-223, (2004)
[4]  
Murphy J.P., Budd D.C., Thyroglossal duct cysts in the elderly, South Med J, 70, 10, pp. 1247-1248, (1977)
[5]  
Galluzzi F., Pignataro L., Gaini R.M., Hartley B., Garavello W., Risk of recurrence in children operated for thyroglossal duct cysts: a systematic review, J Pediatr Surg, 48, 1, pp. 222-227, (2013)
[6]  
Maddalozzo J., Venkatesan T.K., Gupta P., Complications associated with the Sistrunk procedure, Laryngoscope, 111, 1, pp. 119-123, (2001)
[7]  
Bhat A.G., Ganapathi P., Blow-torch phenomenon” during laser assisted excision of a thyroglossal cyst at the base of the tongue, J Anaesthesiol Clin Pharmacol, 28, 2, pp. 247-248, (2012)
[8]  
Zhang L.C., Zhang T.Y., Sha Y., Lin Y.X., Chen Q., Lingual thyroglossal duct cyst with recurrence after cystectomy or marsupialization under endoscopy: diagnosis and modified Sistrunk surgery, Laryngoscope, 121, 9, pp. 1888-1892, (2011)
[9]  
Leonardis R.L., Duvvuri U., Mehta D., Transoral robotic-assisted lingual tonsillectomy in the pediatric population, JAMA Otolaryngol Head Neck Surg, 139, 10, pp. 1032-1036, (2013)
[10]  
Park Y.M., Kim W.S., Byeon H.K., De Virgilio A., Lee S.Y., Kim S.H., Clinical outcomes of transoral robotic surgery for head and neck tumors, Ann Otol Rhinol Laryngol, 122, 2, pp. 73-84, (2013)