Successful Treatment with Partial Excision and Marsupialization in
A Case of Linguial Thyroglossal Duct Cyst
case report
Young Ju Hong M.D., Seonae Ryu, Eun Young Chang M.D., Seok Joo Han M.D.
Department of Pediatric SurgerySeverance Children`s Hospital
Department of SurgeryYonsei University College of Medicine
Background• Lingual thyroglossal duct cyst(TGDC)
– Rare form of TGDC (2~3%)
– Symptoms : incidentally detected ~ life threatening respiratory diffi-
culty (mass at tongue, dysphonia, feeding difficulty..)
– Ultrasound, MRI
– Surgical removal
Case – History of illness• F/2 months• C.C : scalp mass• Birth history
– IUP 38 wks, 3.2kg, NSVD– 2 weeks : laryngoscope d/t grunging repiration : normal
• Physical exam– Mass on frontal scalp– Expiratory grunting respiration
Case – History of illness
Case – History of illness
Case – Operation• Preoperative diagnosis
– Lingual thyroglossal duct cyst– Hemangioma, frontal scalp
• Postoperative diagnosis– Same as above
• Operation name– Transoral marsupialization of lingual thyroglossal duct
cyst– Excision of hemangioma
Case – Progress• Pathological diagnosis
– A. Labeled 'thyroglossal duct': Consistent with thyroglossal duct cyst– B. Labeled 'hematoma': Juvenile hemangioma
• POD # 1– NPO
• POD # 2– Milk feeding
• POD # 3– Discharged
Conclusion• Marsupialization for Lingual TGDC
– Successful– Less complex– Lower morbidity
• Sistrunk operaiton– Complex, higher morbidity (tongue, madible splitting, cervical
approach)• Puncture and aspiration
– Higher recurrence rate
Thank you for your attention !!
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