CPT® Code 60280

The excision of a thyroglossal duct cyst or sinus, represented by CPT® Code 60280, is a surgical procedure aimed at removing a congenital malformation that commonly occurs in the midline of the neck. A thyroglossal duct cyst is formed when the thyroglossal duct, which is a remnant of embryonic development, fails to involute properly. During normal thyroid gland development, cells migrate from the base of the tongue through the thyroglossal duct to the neck, where the thyroid gland is located. If this duct does not disappear as it should, it can lead to the formation of cysts that may fill with fluid or mucus. In some cases, a sinus may develop if the duct remains open and connects to the skin surface. The procedure is typically performed to alleviate symptoms associated with these cysts, which can include swelling, infection, or discomfort. The Sistrunk procedure, a specific technique used during this excision, has been shown to significantly reduce the recurrence of cysts by ensuring that not only the cyst is removed but also a portion of the hyoid bone and associated tissue. This careful dissection is crucial to avoid damaging nearby structures, such as the hypoglossal nerve, which is vital for tongue movement. The procedure concludes with the closure of the incision using absorbable sutures and skin adhesives, minimizing the need for postoperative suture removal. A light pressure dressing is then applied to support the healing process.