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Background <p>Benign midline cervical tumors, such as thyroglossal duct cysts (TDCs) and dermoid cysts, are typically removed via cervical incisions, often resulting in noticeable scars. This study evaluates the feasibility, safety, and outcomes of endoscope-assisted transoral resection with concealed incisions.</p> Methods <p>A retrospective analysis was performed on 24 patients who underwent endoscopic transoral excision at Qilu Hospital (2018–2024). Preoperative MRI or CT was performed to assess tumor characteristics. Incisions were made in the oral vestibule or floor of the mouth mucosa, tailored to tumor location.</p> Results <p>All procedures were successfully completed endoscopically. Five patients experienced transient lower lip numbness; one patient with a thyroglossal duct fistula developed a seroma and infection, which resolved with drainage. At 3 months postoperatively, no oral dysfunction was observed. The mean Visual Analog Scale (VAS) score for cosmetic satisfaction was 9.1 ± 0.8, indicating high patient satisfaction. No recurrences were observed during follow-up.</p> Conclusions <p>Transoral endoscopic resection is a feasible alternative that avoids externally visible scars for selected patients with benign midline cervical neoplasms, achieving satisfactory cosmetic and functional outcomes with no compromise to safety.</p>

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Endoscope-assisted transoral removal of benign midline cervical neoplasms: A preliminary study

  • 期刊论文

  • 发表日期：

    2026年6月29日

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  • Yilin Peng,
  • Yanran Shi,
  • Xiangyu Zhou,
  • Xingwang Li,
  • Xiaoqian Li,
  • Rong Wang,
  • Hui Xu,
  • Liang Shi

摘要

Background

Benign midline cervical tumors, such as thyroglossal duct cysts (TDCs) and dermoid cysts, are typically removed via cervical incisions, often resulting in noticeable scars. This study evaluates the feasibility, safety, and outcomes of endoscope-assisted transoral resection with concealed incisions.

Methods

A retrospective analysis was performed on 24 patients who underwent endoscopic transoral excision at Qilu Hospital (2018–2024). Preoperative MRI or CT was performed to assess tumor characteristics. Incisions were made in the oral vestibule or floor of the mouth mucosa, tailored to tumor location.

Results

All procedures were successfully completed endoscopically. Five patients experienced transient lower lip numbness; one patient with a thyroglossal duct fistula developed a seroma and infection, which resolved with drainage. At 3 months postoperatively, no oral dysfunction was observed. The mean Visual Analog Scale (VAS) score for cosmetic satisfaction was 9.1 ± 0.8, indicating high patient satisfaction. No recurrences were observed during follow-up.

Conclusions

Transoral endoscopic resection is a feasible alternative that avoids externally visible scars for selected patients with benign midline cervical neoplasms, achieving satisfactory cosmetic and functional outcomes with no compromise to safety.