Bilateral axillo-breast approach (BABA) endoscopic Sistrunk operation in patients with thyroglossal duct cyst: technical report of the novel endoscopic Sistrunk operation.
BACKGROUND
A traditional Sistrunk operation for thyroglossal duct cyst inevitably results in an external scar. We developed an endoscopic Sistrunk operation using a bilateral axillo-breast approach (BABA) to obtain good postoperative and excellent cosmetic outcomes.


METHODS
A 23-year-old woman and a 52-year-woman with thyroglossal duct cyst were selected. All surgical procedures were performed in concordance with the traditional Sistrunk operation and we used ultrasonic shears (Harmonic), hook scissors, and metal clips for that.


RESULTS
All procedures were technically successful with no skin incisions on the neck. The total operation time was 120 and 140 minutes and the total blood loss was 100 and 80 mL, respectively. The operative scars by BABA endoscopic method became inconspicuous in a few weeks.


CONCLUSIONS
The BABA endoscopic Sistrunk operation is technically feasible, safe, and effective. This new technique can be a good alternative option, particularly for young female patients.
Department of Surgery, Chung-Ang University Hospital, Seoul, Korea.
Se H
SH
Paek
June Y
JY
Choi
Kyu-Eun
KE
Lee
Yeo-Kyu
YK
Youn
D001365:Axilla; D001940:Breast; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D061646:Operative Time; D013524:Surgical Flaps; D013955:Thyroglossal Cyst / Q000601:surgery*; D055815:Young Adult