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Tracheal injury complicating Sistrunk's thyroglossal cyst surgery
Institution:Service d''ORL et chirurgie cervico-faciale, UAM d''ORL pédiatrique, Hôpital Gui-de-Chauliac, Université de Montpellier, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France
Abstract:IntroductionAirway injury is a very rare complication of thyroglossal duct cyst surgery in children. The wound is most frequently located at the larynx, due to a confusion between the hyoid bone and the thyroid cartilage.ObservationThis is the first report of a tracheal injury complicating Sistrunk's procedure in a 3 year old child, revealed by respiratory distress. Conservative treatment was suggested, requiring a tracheostomy lasting 49 days, leading to decanulation and complete anatomical and functional recovery.ConclusionThis report highlights the specificity of pediatric laryngotracheal anatomy.
Keywords:Thyroglossal duct cyst  Sistrunk's procedure  Tracheal injury  Pediatric laryngeal anatomy  Pediatric respiratory distress
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