Extirpation of Lingual Thyroglossal Duct Cyst with Transoral Extirpation

Introduction and Objectives: Thyroglossal duct cyst can be classified based on location, tongue (2.1%), suprahyoid (24.1%), thyrohyoid (60.9%), and suprasternal (12.9%). Lingual thyroglossal duct cyst is a rare lesion and is often found incidentally. The development of surgical technology and patients' cosmetic concerns make the transoral approach favourable. Material and Methods: A case of a thirteen-year-old girl with a thyroglossal duct cyst at the base of the tongue has been reported. A literature review was conducted using PubMed with (thyroglossal duct cyst or TGDC) and (tongue or lingual thyroglossal) and (surgery) as the keywords. Results: In this case, the surgical technique for a lingual thyroglossal duct cyst was performed via a transoral approach without endoscopy. The selection of this surgical technique was based on considerations of easy visualization, minimal risk of bleeding, minimal risk of tissue trauma, and cosmetic. The conventional transoral approach without endoscopy performed in this case showed good surgical results, minimal intraoperative bleeding and no recurrence after one year postoperatively. Similar findings were observed in cases performed with the transoral and Sistrunk approaches. Conclusion: Extirpation of the thyroglossal duct cyst was performed using a transoral approach. After one year of surgery, the patient had no complaints of discomfort when swallowing, eating and drinking were smooth, and no recurrence was found. This procedure can be a reference for the management of other similar cases.