Robot-assisted Sistrunk operation via a retroauricular approach for thyroglossal duct cyst.

Abstract

BACKGROUND: Traditionally, simple excisions of midline neck masses were typically

performed through an incision on the overlying skin causing displeasing cosmetic

outcomes. From the recent demonstrations to overcome these disappointing

aesthetic results from overt scars, we propose a novel approach to successfully

remove lesions with satisfactory cosmetic outcomes from well-hidden scars. A

detailed surgical technique is provided. METHODS: A 20-year-old female patient

with thyroglossal duct cyst (TGDC) was successfully treated via a retroauricular

approach utilizing the robotic surgical system. RESULTS: The operative procedure

was successfully completed with no conversion to open surgery. The operative time

was reasonable and there were no intraoperative complications. Videographic

demonstration of the robotic-assisted surgery is included in this study online.

CONCLUSION: Surgical removal of midline neck mass (TGDC) via a retroauricular

approach utilizing the robotic surgical system can be a technically feasible and

safe treatment option with excellent cosmetic outcomes.