Cyst in throat - Removal of Thyro Glossal Cyst

A surgical resection, often with concomitant removal of the midsection of the hyoid bone (Sistrunk procedure) is the method of choice for the treatment of Thyroglossal cyst.

Even benign cysts are removed if the patient exhibits difficulty in breathing or swallowing, or if the cyst is infected. Even if it is not infected, the cyst may be removed to eliminate the chance of infection or development of a carcinoma, or for cosmetic reasons if there is unsightly protrusion from the neck.

The Sistrunk procedure involves excision not of the cyst and the tract and branches. A removal of the central portion of the hyoid bone is indicated to ensure complete removal of the tract. No recurrence has seen after the surgery. Antibiotics can be indicated if there is sign of infection and warm compresses can also give some relief. Fine needle aspiration (FNA) should be obtained for gram stain and culture when possible. FNA is also helpful to confirm the diagnosis.

Thyroid scans, ultrasound, or CT and thyroid function studies are ordered preoperatively; this is important to demonstrate that normally functioning thyroid tissue is in its usual area.

Ranula excision

Treatment of Ranulas could involve either marsupialization or excision of both the gland and lesion. Ranulas are likely to recur if the sublingual gland or other gland causing them is not removed with the lesion. There is little morbidity or mortality connected with treatment.

Marsupialisation: Simple marsupialisation is the oldest and most widely reported treatment for ranulæ. It involves unroofing the tongue cyst and tacking the edges of the cyst to adjacent tissue. Placement of suture / stitch or seton, sclerosing agents can also be used as treatment. The CO2 laser has good success rate and decreased risk of recurrence. Radiation Therapy is an alternative for those who cannot tolerate surgery.

Thyroid Gland Removal - Thyroidectomy Partial & Full

Thyroid surgery is performed for a variety of reasons. A nodule or lobe of the thyroid is sometimes removed for biopsy or adenoma causing hyperthyroidism. A subtotal thyroidectomy, treat the hyperthyroidism of Graves' disease, or to remove a goiter that interfere with the vital structures. A complete thyroidectomy, including associated lymph nodes, is the preferred treatment for thyroid cancer. Individuals undergone a total thyroidectomy are placed on thyroid hormone replacement.

Total or full thyroidectomy removes the entire gland and the lymph nodes surrounding the gland. Both lobes of the thyroid gland are usually removed. Partial thyroidectomy involves the removal of either a part or a lobe of thyroid.

Thyroid lobectomy with or without an isthmectomy: Lobectomy removes only one lobe if the thyroid nodules are located in one lobe. In isthmectomy, the narrow band of tissue (isthmus) that connects the two lobes also removed. If the biopsy shows positive for cancer cells then a complete thyroidectomy is performed.

Subtotal thyroidectomy: Removes one complete lobe, the isthmus, and part of the other lobe. This is used for hyperthyroidism caused by Graves' disease.

The surgeon has to take intense care not to damage the adjacent structures, the parathyroid glands and the recurrent laryngeal nerve. Both are susceptible to accidental removal and/or injury during thyroid surgery.
News & Events
Clinic Locations
Location Map
Location Map
View Large
Conceptualized, Marketed & Promoted by Anvita Tours2Health Private Limited