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Updated: Oct 24, 2025
Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
Recurrent cervical stitch sinus arising from the deep neck space after thyroidectomy: case study and review
Hsing-Fu Chen1, Marios Papadakis1, Seng-Feng Jeng1
1Department of Plastic and Reconstructive Surgery, E-Da Hospital, Kaohsiung, Taiwan.
Objective:
We describe a one-stage surgical technique for the management of recurrent cervical stitch sinus after thyroidectomy.
Method:
A retrospective, single-centre study of all patients who were operated on because of cervical neck sinus after thyroidectomy. We provide a detailed description of our surgical approach, based on guided sinus removal after prior tract staining with methylene blue and subsequent obliteration using local strap muscle flap.
Results:
A total of seven patients with a mean age of 46 years were included in the study. All patients had a past history of thyroidectomy because of goitre (n=5) or thyroid cancer (n=2) which had previously been unsuccessfully debrided two or three times. Surgical sinus removal was successful in all cases and no recurrence was observed during the follow-up time.
Conclusions:
We conclude that a comprehensive en bloc resection down to the suture granuloma is essential in order to provide surgical cure and prevent recurrence.
