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Laryngeal perforation during Sistrunk procedure.
Leonor Matos1, Lúcia Carvalho1, Alexandre Alves1
1General Surgery Department, Centro Hospitalar Entre Douro E Vouga, Santa Maria da Feira, Portugal.
Journal of Surgical Case Reports
|March 29, 2021
Summary
Thyroglossal duct cyst (TGDC) excision can lead to rare but life-threatening laryngeal perforation. Awareness and careful surgical technique are crucial for managing this common congenital neck anomaly.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Congenital Anomalies
Background:
- Thyroglossal duct cyst (TGDC) is the most frequent congenital anomaly of the neck, often diagnosed in childhood but possible at any age.
- Ultrasound is a valuable diagnostic tool for evaluating the thyroid gland and surrounding neck structures in suspected TGDC cases.
Observation:
- This report details a rare instance of laryngeal perforation occurring during the surgical excision of a TGDC in a 22-year-old male patient.
- Laryngeal perforation represents a potentially life-threatening complication associated with TGDC removal.
Findings:
- The Sistrunk procedure is the standard surgical intervention for TGDC, known for its low rates of morbidity and recurrence.
- The case highlights the importance of vigilance for unexpected intraoperative complications, such as laryngeal perforation, even with established surgical protocols.
Implications:
- Increased awareness of laryngeal perforation as a potential complication during TGDC excision is essential for surgical teams.
- This case underscores the need for meticulous surgical technique and preparedness to manage severe complications during routine procedures.
- Further emphasis on pre-operative assessment and intra-operative monitoring may help mitigate the risk of such adverse events.
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