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Advanced Technical IVT

Sistrunk procedure

Pronunciation: SIS-trunk

Surgical technique for thyroglossal duct cyst removal that includes excision of the central portion of the hyoid bone.

Full Definition

The Sistrunk procedure is the gold standard surgical treatment for thyroglossal duct cysts, named after Walter Sistrunk who described the technique in 1920. The procedure involves complete excision of the cyst along with the central portion of the hyoid bone and core of tissue extending to the tongue base. This approach significantly reduces recurrence rates compared to simple cyst excision because it removes potential duct remnants that may be adherent to the hyoid bone. The procedure requires careful dissection to avoid injury to surrounding structures while ensuring complete removal of all thyroglossal duct tissue.

Usage

Usage note: Always capitalize as it is an eponymous procedure; no possessive apostrophe needed.

In Context

  • "The Sistrunk procedure was performed with complete removal of the cyst and central hyoid bone." — operative report
  • "Recurrence rates are significantly lower with the Sistrunk procedure compared to simple excision." — surgical literature review

Also known as

central hyoid excision modified Sistrunk

Contrasted with

simple cyst excision

Don't confuse with

cyst drainage marsupialization

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