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Thyroglossal Duct Cyst Surgery

Sistrunk procedure for the most common congenital midline neck mass.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Thyroglossal Duct Cyst Surgery?

Thyroglossal duct cyst is the most common congenital midline neck cystic lesion, formed from remnants of the thyroid gland's embryological migration tract.

The Sistrunk procedure is the gold standard surgical treatment - cyst excision together with the central body of the hyoid bone reduces recurrence to below 5%.

Symptoms

Painless midline cystic mass
Mass moving with swallowing or tongue protrusion
Recurrent infection (after fistulisation)
Lesion present from birth or appearing in childhood

Risk Factors

Childhood (most common 2-10 years)
Family history (rare)
Recurrent upper respiratory tract infections
Disorders of embryological migration

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent cystic mass on the midline of the neck
  • Recurrent infection or fistula formation
  • Mass enlargement or pain
  • Suspected thyroglossal carcinoma in adults (rare 1%)

Treatment Methods

01
Sistrunk procedure (cyst + central body of hyoid)
02
Preoperative ultrasound (to confirm normal thyroid)
03
MRI (in atypical localisation)
04
Antibiotic and drainage in the infected cyst (postpone surgery)
05
Total thyroidectomy in the cancerous cyst (1% risk)
06
Postoperative drain (24-48 hours)
07
Pathological evaluation (foci of papillary carcinoma)

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.