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Endoscopy-Assisted Thyroglossal Duct Cyst Resection: A Scoping Review
Maoshan Du1,2, Shanwen Chen2, Yu Wu2
1Anhui University of Chinese Medicine, Hefei, Anhui, China.
The Laryngoscope
|January 19, 2024
Summary
Endoscopy-assisted surgery for thyroglossal duct cysts (TGDCs) offers a cosmetic alternative to the Sistrunk procedure. While safe, current evidence doesn't prove it's more effective than the traditional method.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
- Pediatric Surgery
Background:
- Thyroglossal duct cysts (TGDCs) are common congenital neck masses.
- The traditional Sistrunk procedure for TGDC removal often results in noticeable neck scarring.
- There is a growing demand for surgical techniques that improve cosmetic outcomes.
Purpose of the Study:
- To conduct a scoping review evaluating the feasibility and safety of endoscopy-assisted surgery for TGDC resection.
- To assess the potential of minimally invasive approaches for improved aesthetic results in TGDC treatment.
Main Methods:
- A comprehensive literature search was performed across PubMed, Embase, and Cochrane databases up to January 2023.
- Data extraction focused on surgical approach, patient demographics, procedures, and outcomes.
- Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist.
Main Results:
- Nine studies (2011-2022) involving 85 patients undergoing endoscopy-assisted TGDC surgery were analyzed.
- Various endoscopic approaches were utilized, with operative times ranging from 50 to 480 minutes.
- A low complication rate (8%) was observed, with no reported conversions to open surgery or recurrences.
Conclusions:
- Endoscopy-assisted surgery presents a viable option for TGDC resection, offering satisfactory cosmetic results and safety.
- Current evidence is insufficient to establish the superiority of endoscopy-assisted over the traditional Sistrunk procedure.
- Further research is needed to definitively compare the effectiveness of these surgical approaches.
