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VOLUME 8 , ISSUE 3 ( September-December, 2016 ) > List of Articles


Modified Sistrunk Procedure: A Novel Method of Hyoid Resection using Skin Punches in Subhyoid Thyroglossal Cysts

Sudhir Naik, BL Yatish Kumar, S Ravishankara, T Shashikumar, RM Deekshith

Keywords : Hyoid bone,Sistrunk's operation,Skin punches,Thyroglossal cyst

Citation Information : Naik S, Kumar BY, Ravishankara S, Shashikumar T, Deekshith R. Modified Sistrunk Procedure: A Novel Method of Hyoid Resection using Skin Punches in Subhyoid Thyroglossal Cysts. Int J Otorhinolaryngol Clin 2016; 8 (3):97-100.

DOI: 10.5005/jp-journals-10003-1240

Published Online: 01-03-2007

Copyright Statement:  Copyright © 2016; The Author(s).



Managing thyroglossal duct cyst requires surgical excision of the cyst with its tract through the tongue base. Incomplete removal results in cyst recurrence, the common complications of incompletely performed Sistrunk procedure. The Modified Sistrunk procedure using skin punches increases the easiness of surgery and chances of complete removal of the tract.

Materials and methods

Resection of the middle body of the hyoid was done by coring out the nonossified bone with 4.5 mm skin punches under 3.5× loupes and the tract above till the base.


A total of 14 primary cases were operated by this slight modification, and no recurrences were seen on 1 year of follow-up.


Sistrunk operation is the treatment of choice for primary thyroglossal cysts. Modified Sistrunk operation using skin punches results in easy and precise coring of the hyoid bone with the tract attached to it. Secondary cysts should be treated with removal of core of tongue base muscle and foramen cecum mucosa along with hyoid and scarred cyst excision.

How to cite this article

Naik SM, Kumar BLY, Ravishankara S, Shashikumar T, Deekshith RM. Modified Sistrunk Procedure: A Novel Method of Hyoid Resection using Skin Punches in Subhyoid Thyroglossal Cysts. Int J Otorhinolaryngol Clin 2016;8(3):97-100.

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  1. Thyroglossal duct cyst: personal experience and literature review. Auris Nasus Larynx 2008 Mar;35(1):11–25.
  2. L. Congenital neck masses and cysts. In:Bailey, B.J., editor. Head and neck surgery – otolaryngology. 3rd ed. New York: Lippincott Williams & Wilkins; 2001. p. 933.
  3. E.; Gray, G.N. Embryolgy for surgeons. Baltimore, MD: Williams & Wilkins; 1994.
  4. The thyroglossal duct cyst. Head Neck Surg 1982;5:134–146.
  5. Review of head and neck lesions in infancy and children. Surg Clin North Am 1992 Dec;72(6):1429–1447.
  6. Thyroglossal duct carcinoma. Hum Pathol 1975 Nov;6(6):717–729.
  7. Thyroglossal duct cyst. Jurnalul de Chirurgie, Iasi 2009;5(1).
  8. Surgical review of thyroglossal cysts. Singapore Med J 1982 Dec;23(6):318–321.
  9. Thyroglossalduct cysts: a consideration in adults. Am Surg 2005 Jun;71(6):508–511.
  10. Three cases of papillary carcinoma and three of adenomain thyroglossal duct cysts: clinical-diagnostic comparison with benign thyroglossal duct cysts. J Endocrinol Invest 2002 Dec;25(11):947–954.
  11. Risk factors for thyroglossal duct remnants after Sistrunk procedure in a pediatric population. Int J Pediatr Otorhinolaryngol 2003 Jan;67(1):19–23.
  12. Recurrent thyroglossal duct cysts: a 23-year experience and a new method of management. Ann Otol Rhinol Laryngol 2006 Nov;115(11):850–856.
  13. An overview of 22 thyroglossal cysts managed in KVG medical college. Int J Head Neck Surg 2011 Jan-Apr:2(1):5–9.
  14. Sistrunk's operation for the treatment of thyroglossal cyst. Mymensingh Med J 2010 Oct;19(4):565–568.
  15. Lingual thyroglossal duct cyst with recurrence after cystectomy or marsupialization under endoscopy: diagnosis and modified Sistrunk surgery. Laryngoscope 2011 Sep;121(9):1888–1892.
  16. Transoral robotic resection of a lingual thyroglossal duct cyst. J Robot Surg 2012 Dec;6(4):367–369.
  17. Simultaneous occurrence of a thyroglossal duct cyst and a lingual thyroid in the absence of an orthotopic thyroid gland. J Laryngol Otol 2012 Feb;126(2):217–220.
  18. Ectopic thyroid tissue in the thyroglossal cyst duct: rare clinical entity with review of literature. World J Endocr Surg 2013 May-Aug;5(2):39–44.
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