Excision of a large lingual thyroglossal duct cyst via median labiomandibular glossotomy (Trotter procedure) and hyoid osteotomy: A case report

Author: Ma. Alexis Kleanthe D Suñer ¹ ; Candice Que-ansorge ¹ ; Emmanuel Tadeus S Cruz ¹ ; Emmanuel S Samson ¹
Author Information

1. Department of Otorhinolaryngology Head and Neck Surgery, Manila Central University-Filemon D. Tanchoco Medical Foundation Hospital, MCU-FDTMFH, Caloocan, Metro Manila, NCR, Philippines
Publication Type:Case Reports
Keywords: Lingual; Median Labiomandibular Glossotomy; Trotter Procedure; Hyoid Osteotomy
MeSH: Human; Male; Middle Aged: 45-64 Yrs Old; Thyroglossal Duct Cyst; Thyroglossal Duct Remnants
From: Philippine Journal of Otolaryngology Head and Neck Surgery 2025;40(1):51-54
CountryPhilippines
Language:English
Abstract:
Objective: To report a case of lingual thyroglossal duct cyst in an elderly man, excised via combined Trotter procedure and hyoid osteotomy.
Methods:
Design: Case Report
Setting: Tertiary Government Training Hospital
Participant: An elderly retired male office worker with dysphagia
Results: The cyst was completely excised via median labiomandibular glossotomy, with hyoid osteotomy providing additional exposure. Our patient was discharged in two weeks after decannulation and remains asymptomatic.
Conclusion: The Trotter procedure with hyoid osteotomy may be a viable alternative to the Sistrunk procedure for large lingual TGDCs.
Full text:2025111714243648113pjohns 40(1) CReport 2.pdf