and Charles P. Molumi2
(1)
University of Papua New Guinea and Port Moresby General Hospital, Boroko, National Capital District, Papua New Guinea
(2)
Port Moresby General Hospital, Boroko, National Capital District, Papua New Guinea
3.1 Sistrunk Procedure for Thyroglossal Cyst
Fig. 3.1
A 5–6 cm transverse incision is made over the cyst; in case of a sinus the central part of the incision should encircle the opening of the sinus. The platysma muscle is cut and the dissection proceed cranially in the subplatysmal plane
Fig. 3.2
The sinus opening with the attached skin or the cyst is grasped and retracted superiorly taking care to preserve the integrity of the tract; dissection is continued till hyoid bone is reached
Fig. 3.3
The muscles attached at the superior and inferior border of the central part of the hyoid bone is cut while the thyroglossal duct is left attached with the specimen. The tract is followed through the hyoglossal muscle till the base of the tongue is reached
Fig. 3.4
A part of the tongue base around the foramen cecum is included in the specimen. The tongue base and its musculature are sutured together. A drain is placed in the subplatysmal plane and the platysma muscle reapproximated. The skin is closed
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