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Transoral Submandibular Excision of Thyroglossal Cysts: A New Approach Model
1Hatay Mustafa Kemal University Otorhinolaryngology Department HATAY, Hatay, Antakya, Turkiye.
The Laryngoscope
|December 30, 2025
Summary
A new transoral submandibular surgical technique for thyroglossal duct cyst (TGDC) excision was evaluated. This minimally invasive approach shows promise for treating TGDC, offering an alternative to traditional methods.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Surgical Innovation
Background:
- Thyroglossal duct cyst (TGDC) is a common congenital neck mass.
- The classic Sistrunk procedure often leaves external scars.
- Minimally invasive techniques are sought to address cosmetic concerns.
Purpose of the Study:
- To introduce and describe a novel transoral submandibular surgical technique for TGDC excision.
- To compare this new technique with the established Sistrunk procedure and other transoral approaches.
Main Methods:
- A cohort of 12 pediatric patients with TGDC underwent surgery using the transoral submandibular approach.
- The technique was detailed and compared to transcervical and other transoral methods.
- Literature review and discussion of findings in the context of current research.
Main Results:
- The study included 12 patients aged 4-17 years with symptom duration of 6-120 months.
- Surgical duration averaged 102 ± 14.5 minutes (range: 80-180 min).
- No intraoperative complications were reported for any patient.
Conclusions:
- The transoral submandibular approach offers a potentially advantageous minimally invasive option for TGDC treatment.
- Further research is needed to establish the optimal surgical technique for TGDC excision.
- This technique may contribute positively to the surgical management of TGDC.
