Transoral Excision of Lingual Thyroglossal Duct Cyst with Epiglottopexy

Symptomatic airway obstruction with stridor, retractions, failure to thrive

Medical instability for Surgery

Transoral tongue base approach either through laryngoscope, or via transoral base of tongue approach using telescopes and Weider ("sweetheart") retractor

MRI or CT scan to confirm presence of suspected cyst

Transoral excision performed with dissection around cyst capsule, being careful to excise entire mass

Airway obstruction, bleeding

Airway obstruction, bleeding

The authors say a special thanks to David White, MD, FACS, FAAP for his expertise and suggestions prior to performing this surgery

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