Seung Hoon Woo1,2, Jung Je Park1, Jong Chul Hong3, Soo-Geun Wang4, Gi Cheol Park5, Young Gyu Eun6, Jin Pyeong Kim1, Han-Sin Jeong7. 1. Department of Otolaryngology, Gyeongsang National University, Jinju, Korea. 2. Institute of Health Sciences, Gyeongsang National University, Jinju, Korea. 3. Department of Otorhinolaryngology-Head and Neck Surgery, Dong-A University Hospital, Busan, Korea. 4. Department of Otorhinolaryngology-Head and Neck Surgery, Busan National University School of Medicine, Busan, Korea. 5. Department of Otolaryngology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. 6. Department of Otolaryngology, Kyung Hee University School of Medicine, Seoul, Korea. 7. Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea.
Abstract
OBJECTIVES/HYPOTHESIS: Endoscope-assisted transoral removal of a thyroglossal duct cyst (TGDC) has been introduced to clinical practice. However, the technical feasibility, efficacy, and safety of this procedure have not been studied. Herein, we conducted a prospective clinical trial to evaluate endoscope-assisted transoral removal of a TGDC. STUDY DESIGN: Prospective cohort study. METHODS: Thirty patients were included. We performed endoscope-assisted transoral removal of TGDCs and evaluated the clinical results and complications over more than 2 years. RESULTS: Endoscope-assisted transoral resection was successful in all cases. However, transient morbidity was noted in one patient. The mean operation time was 67.33 ± 17.26 minutes. Surgery was not required for recurrence or revision during a follow-up. CONCLUSIONS: Endoscope-assisted transoral resection of a TGDC is a potentially safe and effective procedure leading to excellent functional and cosmetic outcomes. Additionally, considering the embryological development of TGDCs, the transoral approach can open a new access route to these cysts. LEVEL OF EVIDENCE: 2b.
OBJECTIVES/HYPOTHESIS: Endoscope-assisted transoral removal of a thyroglossal duct cyst (TGDC) has been introduced to clinical practice. However, the technical feasibility, efficacy, and safety of this procedure have not been studied. Herein, we conducted a prospective clinical trial to evaluate endoscope-assisted transoral removal of a TGDC. STUDY DESIGN: Prospective cohort study. METHODS: Thirty patients were included. We performed endoscope-assisted transoral removal of TGDCs and evaluated the clinical results and complications over more than 2 years. RESULTS: Endoscope-assisted transoral resection was successful in all cases. However, transient morbidity was noted in one patient. The mean operation time was 67.33 ± 17.26 minutes. Surgery was not required for recurrence or revision during a follow-up. CONCLUSIONS: Endoscope-assisted transoral resection of a TGDC is a potentially safe and effective procedure leading to excellent functional and cosmetic outcomes. Additionally, considering the embryological development of TGDCs, the transoral approach can open a new access route to these cysts. LEVEL OF EVIDENCE: 2b.