[The Sistrunk median cervical cyst operation using a cecal foramen pointer].
The cecal foramen pointer was invented for a Sistrunk median cervical cyst operation. The instrument consists of three elements, namely: The cecal foramen holder, the giraffe shaped connector and the pointer needle. First of all, the cecal foramen is held by the holder which is reconstructed from hemostatic forceps. The one end of the connector is joined to the holder's handle. Then the other end of the connector comes along the patient's chin, in front of the neck. The cyst and mid-portion of the hyoid bone are dissected, followed by coring out of the thyroglossal duct toward the cecal foramen. In the coring out process, the pointer needle is pierced through the tunnel of the connector's opposite end, so that the needle top reaches to the bottom of operative wound. Then the needle shows exactly the direction to the cecal foramen and the distance from the bottom of the wound to the cecal foramen. By using this instrument the operation was successfully performed for a case of a recurrent median cervical cyst with a complete fistula to the cecal foramen.
First Department of Surgery, School of Medicine, Iwate Medical University, Japan.
J
J
Sasaki
S
S
Sugawara
K
K
Saito
Y
Y
Fujishima
D006801:Humans; D013525:Surgical Instruments; D013955:Thyroglossal Cyst / Q000601:surgery*