title: Intraoral removal of a thyroglossal duct cyst using a frenotomy incision.
abstract: BACKGROUND
  Thyroglossal duct cyst (TGDC) is one of the most common causes of anterior neck swelling close to the midline. Surgical removal of a TGDC is usually accomplished through an external neck incision, including the removal of the middle part of hyoid bone and a block of tissues extending to the foramen cecum. However, this procedure inevitably results in a neck scar.
  
  
  METHODS
  We report the case of a 20-year-old woman with TGDC. We implemented a modified approach to TGDC removal through a frenotomy incision of the mouth using an endoscope system.
  
  
  RESULTS
  The patient received a modified approach to TGDC removal. The total operative time was 60 minutes. She remains free of disease 12 months after her surgery.
  
  
  CONCLUSIONS
  We describe, in a single patient, a procedure in detail for endoscope-assisted transoral TGDC excision using an intraoral frenotomy incision. The advantage of this approach is the avoidance of a neck scar. Our experience with this patient indicates that resection of a TGDC appears to be feasible through a transoral endoscope-assisted approach using a frenotomy incision in the mouth. Further experience with this procedure is required.
authors.affiliation: Department of Otolaryngology, Gyeongsang National University, Jinju, South Korea.
authors.forename: Jin Pyeong
authors.initials: JP
authors.lastname: Kim
authors.forename: Jung Je
authors.initials: JJ
authors.lastname: Park
authors.forename: Eun Jae
authors.initials: EJ
authors.lastname: Lee
authors.forename: Seung Hoon
authors.initials: SH
authors.lastname: Woo
mesh_terms: D004724:Endoscopy; D005260:Female; D006801:Humans; D008035:Lingual Frenum / Q000601:surgery*; D013955:Thyroglossal Cyst / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome