Surgical therapeutics and operative technique . Fig. 283.—Serous Adthyroid Bran-chial Ctst, projecting into JtheGtlosso-Epiglottic Groove. Fig. 284.—Serous Adthtroid Bran-chial Cyst, the Thyro-Hyoid Mem-brane. Operation.—The sac is completely extirpated. In some cases of dermoidcyst it is necessary to resect the portion of the os hyoides to which it isadherent. The fully completed operation is rarely followed by any recurrence. First Stage.—Transverse incision of the skin over the cyst, close tothe OS hyoides. Second Stage.—Exposure and isolation of the sac. The cutaneousincision is increased,
Surgical therapeutics and operative technique . Fig. 283.—Serous Adthyroid Bran-chial Ctst, projecting into JtheGtlosso-Epiglottic Groove. Fig. 284.—Serous Adthtroid Bran-chial Cyst, the Thyro-Hyoid Mem-brane. Operation.—The sac is completely extirpated. In some cases of dermoidcyst it is necessary to resect the portion of the os hyoides to which it isadherent. The fully completed operation is rarely followed by any recurrence. First Stage.—Transverse incision of the skin over the cyst, close tothe OS hyoides. Second Stage.—Exposure and isolation of the sac. The cutaneousincision is increased, if necessary. Third Stage.—Complete extirpation of the sac and of the hyoid attach-ment. Fourth Stage.—Aseptic tamponing or immediate reunion. 168 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE Congenital Serous Cysts. These cysts, whether unilocular or multilocular, are usually of congenitalorigin; they have been observed even in a five-month foetus. They aresometimes of considerable size. When the infant is very young, and the
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