Application of Trotter Approach for Large Intralingual Thyroglossal Duct Cyst in an 88-year-old

Publication date: Available online 17 February 2017
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Richard L. Arden, Laura K. Miller
Thyroglossal duct cysts (TDC's) are the most common congenital cyst formations in the neck, typically occurring at midline, infrahyoid positions in younger patients. Traditional management has utilized the Sistrunk procedure to minimize recurrence rates. Reports on elderly patients are sparse, and currently only 14 cases have been reported in patients over 70, and 4 patients over 80 years of age. Detailed herein, we report the oldest known patient with TDC, who possessed a purely intralingual location, requiring a Trotter approach and Sistrunk procedure for symptomatic management.



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