How critical is sugrical operation of thyroglossal cyst?
Question:
Answers:
It is a very tricky surgery. The Sistrunk operation is the best way to make sure that the condition does not recur. This procedure involves taking out the entire cyst and its tract al the way up to the tongue, and involves cutting away a part of the hyoid bone.
Here's a description of the Sistrunk operation:
"A skin incision is made in a natural skin crease near the cyst; any previous incisions or sinus tracts are included in the ellipse. A superior flap is raised to the level of the hyoid bone, and an inferior flap is raised until the inferior aspect of the cyst is identified. The strap muscles are separated, and the cyst is dissected from the surrounding structures until it is attached only to the hyoid bone superiorly. The body of the hyoid bone is skeletonized and then transected on each side of the pedicle. A curved retractor is placed transorally, which facilitates excision of the tract up to the base of tongue with the inclusion of a 5-10 mm core of muscle."
Drains stay in the wound. You will need careful folllow up.
Lots of pictures of thyroglossal duct cysts here: http://www.emedicine.com/ent/topic283.htm
Also see:
http://www.emedicine.com/ent/topic323.htm
Other Answers:
Its a congenital anomaly..not a major thing to be worried about..
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