Complications and Disabilities After Hyoid Bone Excision in Sistrunk Procedure

Common Complications

Dysphagia occurs commonly but typically resolves within 4 weeks postoperatively, representing the most frequent functional complaint after hyoid bone excision 1, 2, 3, 4
Self-limited aspiration may occur during the immediate postoperative period but generally resolves without long-term sequelae 1, 2, 3, 4
Temporary articulation distortions have been reported but are not permanent 1, 2, 3, 4
Hematomas and seromas represent common local complications that typically resolve with conservative management 1, 2, 3, 4
Disturbances of wound healing occur but are generally manageable 1, 2, 3, 4

No persistent voice changes or dysphagia were reported in patients undergoing uncomplicated hyoid suspension or tongue base procedures that involve hyoid manipulation 1, 4, 5
No changes in swallowing or speech were observed in patients undergoing radiofrequency surgery combined with hyoid suspension 2, 4
Permanent disabilities are rare when the procedure is performed correctly, with most complications being temporary 1, 2, 3, 4