Transoral Laser Excision of a Lingual Thyroglossal Duct Cyst
Contributors: Blaine D. Smith and Jaecel Shah
The lingual thyroglossal duct cyst (LTGDC) is a rare variant of the most common congenital neck mass, the thyroglossal duct cyst. The presentation of this atypical cyst is often due to symptoms of upper airway obstruction, and can lead to infant death if left untreated.
Transoral Excision of Lingual Thyroglossal Duct Cyst with Epiglottopexy
Symptomatic airway obstruction with stridor, retractions, failure to thrive
Medical instability for Surgery
Parsons Laryngoscope
Transoral tongue base approach either through laryngoscope, or via transoral base of tongue approach using telescopes and Weider ("sweetheart") retractor
MRI or CT scan to confirm presence of suspected cyst
Transoral excision performed with dissection around cyst capsule, being careful to excise entire mass
Airway obstruction, bleeding
Airway obstruction, bleeding
1. Burkhart, C. M., Richter, G. T., Rutter, M. J., & Myer, C. M. (2009). Update on endoscopic management of lingual thyroglossal duct cysts. The Laryngoscope, 119(10), 2055-2060.
2. Urao, M., Teitelbaum, D.H., & Miyano, T. (1996). Lingual thyroglossal duct cyst: a unique surgical approach. Journal of pediatric surgery, 31(11), 1574-1576.
3. Rahbar, R., Yoon, M. J., Connolly, L. P., Robson, C. D., Vargas, S. O., McGill, T. J., & Healy, G. B. (2008). Lingual thyroid in children: A rare clinical entity. The Laryngoscope, 118(7), 1174-1179. doi:10.1097/MLG.0b013e31816f6922
4. Nguyen, A. M., Chelius, D. C., Baker, K. A., & Weatherly, R. A. (2013). Optimal Positioning Techniques With Fiberoptic Laser Excision in the Treatment of Congenital Tongue Base Lesions. The Laryngoscope, 123(6), 1552-1555.
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