Sistrunk Procedure (Excision of TGDC)

Overview

‍The Sistrunk procedure is a surgical technique used to remove a thyroglossal duct cyst (TGDC), which is a congenital neck cyst that can cause swelling and discomfort. The procedure is named after Dr. Walter Sistrunk, who developed the technique to address these cysts more effectively and reduce the risk of recurrence. It is the method most commonly used to treat TGDC, and at the Russell Center, this procedure can often be done without a scar!

Procedure

‍During the Sistrunk procedure, the surgeon makes an incision in the neck to access the thyroglossal duct cyst. The cyst, along with a portion of the hyoid bone and a segment of the duct tract leading to the base of the tongue, is removed. This comprehensive approach is designed to ensure that no remnants of the cyst remain, which helps prevent recurrence.

Benefits and Risks

‍The Sistrunk procedure is highly effective in treating thyroglossal duct cysts and has a low recurrence rate compared to less extensive surgeries. Potential risks include infection, bleeding, and scarring. In rare cases, there may be damage to surrounding structures such as nerves or the hyoid bone. Your surgeon will discuss these risks with you in detail before the procedure.

Recovery and Follow-Up

‍Recovery from the Sistrunk procedure typically involves a short hospital stay, often just overnight, while other patients will leave the same day. Patients may experience some pain and swelling in the neck, which can be managed with pain relief medications. A drain is often utilized if the cyst was large. It is important to keep the incision site clean and follow your surgeon’s postoperative care instructions. Follow-up appointments will be scheduled to monitor healing and ensure the cyst has been completely removed.