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Published on: September 20, 2024
Tracheal injury complicating Sistrunk's thyroglossal cyst surgery
F Blanc1, C Blanchet1, M Mondain1
1Service d'ORL et chirurgie cervico-faciale, UAM d'ORL pédiatrique, Hôpital Gui-de-Chauliac, Université de Montpellier, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
Introduction:
Airway injury is a very rare complication of thyroglossal duct cyst surgery in children. The wound is most frequently located at the larynx, due to a confusion between the hyoid bone and the thyroid cartilage.
Observation:
This is the first report of a tracheal injury complicating Sistrunk's procedure in a 3 year old child, revealed by respiratory distress. Conservative treatment was suggested, requiring a tracheostomy lasting 49 days, leading to decanulation and complete anatomical and functional recovery.
Conclusion:
This report highlights the specificity of pediatric laryngotracheal anatomy.
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