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A century ago, W.E. Sistrunk described a surgical technique still relevant today.

Eur Ann Otorhinolaryngol Head Neck Dis

December 2024

Service ORL-CCF, CHU de Grenoble-Alpes (CHUGA), Grenoble, France; Secteur santé, université Grenoble-Alpes (UGA), Grenoble, France.

Research and knowledge in human embryology greatly progressed during the second half of the 19th century. This allowed optimization of surgical treatment of branchial deformities and cervical cysts in the light of their embryological development. In 1920, Walter Ellis Sistrunk described an embryologically-based technique for resection of thyroglossal duct fistulae and cysts.

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Modified Sistrunk Procedure in 391 Pediatric Thyroglossal Duct Cyst Cases: Clinical Analysis of Efficacy and Recurrence Risk.

Ear Nose Throat J

June 2024

Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.

The study aims to retrospectively summarize the clinical features of pediatric thyroglossal duct cyst (TGDC), investigate the efficacy of the modified Sistrunk (mSis) procedure, and analyze the recurrence risks. The clinical data of 391 children with TGDC admitted to Beijing Children's Hospital affiliated Capital Medical University and Baoding Children's Hospital from March 2012 to December 2021 were retrospectively analyzed. All patients underwent cervical ultrasound for preoperative evaluation.

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Article Synopsis
  • - The study evaluated the effectiveness of fluorescence-guided surgery (FGS) using the Rubina Lens system in pediatric patients undergoing open surgery for various conditions, showing promising initial results.
  • - A total of 25 children (median age 5.8 years) participated, receiving ICG fluorescent visualization during procedures for issues like dermoid cysts, lymphangiomas, and gynecomastia, with no adverse reactions to the dye reported.
  • - The results indicated that FGS improved surgical outcomes through better visualization of anatomical structures while maintaining a low complication rate, making it a reliable and safe technique for pediatric surgeries.
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What is the annual risk of infection in congenital midline neck cysts in children? Thyroglossal duct cysts versus dermoid cysts.

Int J Pediatr Otorhinolaryngol

January 2024

Department of Paediatric Otolaryngology, Royal Hospital for Children, 1345 Govan Road, Glasgow, G51 4TF, Scotland, UK. Electronic address:

Introduction: Midline neck lumps in children are mostly found to be thyroglossal duct cysts or dermoid cysts. Thyroglossal duct cysts often have an associated sinus tract which may connect all the way to the foramen caecum on the tongue, while dermoids have no such connection. This study aims to estimate the annual infection risk for midline neck cysts based on our patient series, and to see if this differs between thyroglossal duct cysts and dermoid cysts.

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To investigate the clinical characteristics and surgical treatment outcomes of children with cervical bronchogenic cysts. A retrospective study of 6 pediatric patients with bronchogenic cysts in the neck region treated in our hospital during 2014 to 2020 was performed. All children underwent complete resection of cervical mass under general anesthesia.

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