J.Jpn. Surg. Soc.. 91(6): 713-717, 1990
Original article
THE SISTRUNK'S MEDIAN CERVICAL CYST OPERATION USING A “CECAL FORAMEN POINTER”
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First Department of Surgery, School of Medicine, Iwate Medical University, Iwate, Japan Jun Sasaki, Satoru Sugawara, Kazuyoshi Saito, Yasujiro Fujishima*) |
The instrument consists of three elements, namely:The cecal foramen holder, the giraffe shaped connector and the pointer needle. First of all, the cecal foramen is held by the holder which is reconstructed from hemostatic forceps. The one end of the connector is joined to the holder's handle. Then the other end of the connector comes along the patient's chin, infront of the neck. The cyst and mid-portion of the hyoid bone are dissected, followed by coring out of the thyro-glossal duct toward the cecal foramen. In the coring out process, the pointer needle is pierced through the tunnel of the connector's opposite end, so that the needle top reaches to the bottom of operative wound. Then the needle shows exactly the direction to the cecal foramen and the distance from the bottom of the wound to the cecal foramen.
By using this instrument the operation was successfully performed for a case of a recurrent median cervical cyst with a complete fistula to the cecal foramen.
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