bandage-green

Congenital Neck Cyst Excision (Branchial Cleft / Thyroglossal Duct)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, head slightly extended, head turned away from field, Bed turned 90 degrees
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Usually yes, but ask first - nerve monitoring near the facial or hypoglossal nerve rules it out.
Blocks : Superficial Cervical Plexus
Considerations : PONV

Anesthetic Approaches

1GETT, Mask Induction
2GETT, Oral Rae, Mask Induction
3GETT, Nerve Block
The Surgery

Workup and imaging - Ultrasound confirms the cyst and, for a midline lesion, documents a normally positioned thyroid gland. CT or MRI is added when the mass is large, deep, or the anatomy is unclear,...

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