A large thyroglossal duct cyst causing difficulty swallowing and neck discomfort was successfully treated using the Sistrunk procedure. Following one week of treatment and postoperative care, the patient recovered well and was discharged in stable condition.

Hoan My Vinh Hospital recently performed successful surgery on a patient with a complex thyroglossal duct cyst. The patient, Mr. Nguyen Dac D., aged 51, is from Nghe An Province.

The patient presented with difficulty swallowing and discomfort in the neck. Following clinical examination and magnetic resonance imaging (MRI), the medical team identified a large thyroglossal duct cyst measuring 25 × 20 × 22 mm. Given the complexity of the case, surgical intervention was indicated.

After assessing the patient’s condition, the medical team recommended surgery using the Sistrunk procedure. The operation lasted approximately three hours and was performed by Dr. Hoang Duc Huy, Specialist Level II, in collaboration with the surgical and anesthesia teams.

Following surgery, the patient received postoperative monitoring, care, and medical treatment as prescribed. After one week, his condition had stabilized, and he was deemed fit for discharge.

Thyroglossal Duct Cysts: A Congenital Condition Requiring Appropriate Diagnosis and Treatment

A thyroglossal duct cyst is a congenital anomaly that develops when the thyroglossal duct fails to completely involute during embryonic development. The cyst typically appears along the midline of the neck and may move when the patient swallows or protrudes the tongue.

As the cyst enlarges or becomes infected, patients may experience neck swelling, pain, and difficulty swallowing. In particular, large cysts may also affect the airway.

The Sistrunk Procedure – A Common Surgical Approach to Treating Thyroglossal Duct Cysts

The Sistrunk procedure is a commonly selected surgical approach for treating thyroglossal duct cysts. The technique involves removing the cyst, the thyroglossal tract, and the associated central portion of the hyoid bone. This approach helps reduce the risk of recurrence compared with simple cyst excision alone.

Doctors recommend that anyone who notices an abnormal lump in the neck, particularly one located along the midline or that moves during swallowing or tongue protrusion, should seek medical attention for examination, diagnosis, and appropriate treatment advice.