Department of Otolaryngology-Head and Neck Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA.
New York Medical College, Valhalla, New York, USA.
Head Neck. 2022 Jan;44(1):E1-E5. doi: 10.1002/hed.26889. Epub 2021 Oct 25.
Standard of care for management of thyroglossal duct cysts (TGDCs) is a Sistrunk procedure performed through a transcervical incision. We describe the first series of Sistrunk procedures performed through a transoral endoscopic vestibular approach, eliminating a visible external scar.
The transoral endoscopic vestibular approach to the Sistrunk (TEVAS) was performed in patients with TGDCs meeting inclusion criteria who desired a scarless approach.
Six patients (five females and one male) underwent TEVAS, with a mean age of 38 years (range 16-56 years) and a mean TGDC size of 1.8 cm (range 1.1-2.4 cm). Mean operative time was approximately 5 h (range 2-8 h). There were no surgical complications or recurrences.
For appropriately selected patients, the TEVAS is an alternative to open neck surgery that provides improved cosmesis while maintaining successful resection outcomes. More data on outcomes including complications and recurrences are needed as additional case information is collected.
甲状腺舌管囊肿（TGDC）的标准治疗方法是通过经颈切口进行 Sistrunk 手术。我们描述了首例通过经口内镜前庭入路（TEVAS）进行的 Sistrunk 手术，消除了可见的外部疤痕。
符合纳入标准且希望采用无疤痕入路的 TGDC 患者接受了 TEVAS 治疗。
6 名患者（5 名女性和 1 名男性）接受了 TEVAS 治疗，平均年龄为 38 岁（范围 16-56 岁），TGDC 平均大小为 1.8 厘米（范围 1.1-2.4 厘米）。平均手术时间约为 5 小时（范围 2-8 小时）。无手术并发症或复发。
对于选择合适的患者，TEVAS 是开放式颈部手术的替代方法，可改善美容效果，同时保持成功的切除结果。需要更多关于包括并发症和复发在内的结局的数据，因为正在收集更多的病例信息。
