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Expert female thyroglossal duct cyst excision in Dhanbad. Sistrunk procedure, cost ₹30,000–₹75,000, top female surgeons. Call 8877772277.
Discovering a painless swelling in the front of the neck — one that moves upward distinctly when you swallow or protrude your tongue — can be a surprisingly disorienting experience. In the majority of cases, this is a thyroglossal duct cyst (TDC): a benign remnant of the thyroglossal duct, the embryonic channel through which the thyroid gland migrated from the base of the tongue to its final position in the lower neck during foetal development. When this duct fails to completely close after thyroid descent, a cyst can form anywhere along the tract, most commonly just below or at the level of the hyoid bone. While thyroglossal duct cysts are usually benign, they are prone to infection, can become significantly larger over time, and carry a small but real risk of malignant transformation — making their surgical excision the universally recommended treatment once the diagnosis is confirmed.
In Dhanbad, Jharkhand, a growing number of highly trained female general surgeons, female ENT-trained surgeons, female head and neck surgeons, female laparoscopic surgeons, female emergency surgeons, and female cosmetic surgeons offer expert thyroglossal duct cyst excision using the gold-standard Sistrunk procedure. This operation — which removes not just the cyst but the entire thyroglossal tract up to the base of the tongue, including the central portion of the hyoid bone — carries the lowest recurrence rate of any surgical approach and is performed routinely at Dhanbad's major hospitals. Consultation fees range from ₹200 to ₹520, and surgery costs from ₹30,000 to ₹75,000 depending on the hospital and technique. Ayushman Bharat (PMJAY) coverage is available at empanelled centres. To find verified specialist doctors in Dhanbad who perform this procedure, review the profiles below. For appointments call 8877772277.
Procedure | Cost Range (₹) | Hospital Stay |
|---|---|---|
Sistrunk procedure (primary TDC excision) | 30,000 – 55,000 | 1–2 days |
Sistrunk procedure with infected cyst (post-drainage) | 40,000 – 65,000 | 2–3 days |
Revision Sistrunk procedure (recurrent cyst) | 55,000 – 75,000 | 2–3 days |
TDC excision with thyroid function assessment | 35,000 – 60,000 | 1–2 days |
TDC excision with frozen section biopsy | 45,000 – 68,000 | 2 days |
TDC excision in paediatric patients | 35,000 – 60,000 | 1–2 days |
Emergency drainage and definitive Sistrunk procedure | 45,000 – 72,000 | 2–3 days |
Costs include surgeon fees, OT charges, anaesthesia, medicines, investigations, and hospital stay. Ayushman Bharat (PMJAY) may cover eligible patients at empanelled hospitals.
Thyroglossal duct cysts do not regress spontaneously; they persist and typically enlarge gradually over years.
Infected thyroglossal duct cysts cause acute pain, fever, and abscess formation in the neck — a situation that requires emergency drainage followed by definitive Sistrunk excision once infection resolves.
The recurrence rate after simple cyst excision alone is 20–50%; the Sistrunk procedure — which removes the entire tract and hyoid bone mid-segment — reduces recurrence to under 4%, making complete surgical excision the only effective treatment.
Thyroglossal duct carcinoma, while rare (accounting for less than 1% of TDC presentations), has been reported in all age groups and provides an additional reason to recommend definitive excision.
A growing neck swelling that interferes with swallowing, causes discomfort, or is cosmetically distressing warrants surgical management.
Patients in occupational or social roles where neck appearance matters benefit significantly from the clean cosmetic result of a planned Sistrunk procedure with careful incision placement.
Recurrent infected TDCs that have been drained multiple times are associated with increasing scar tissue and worsening cosmetic outcomes; definitive excision becomes more technically complex with each drainage episode, making early surgical planning advisable.
In children and young adults, TDC excision prevents the repeated infections and antibiotic courses associated with untreated cysts, and eliminates a source of chronic neck discomfort during the school and working years.
Ectopic thyroid tissue is present in the thyroglossal tract in a small number of patients; pre-operative thyroid imaging and function tests identify patients who require particular surgical care to avoid inadvertently removing their only functioning thyroid tissue.
Permanent elimination of the cyst and its entire tract, providing a definitive cure with recurrence rates under 4% in experienced hands.
Excellent cosmetic outcome when the transverse neck crease incision is placed precisely — the scar fades to a nearly imperceptible line in most patients within six months of surgery.
Complete resolution of the characteristic neck swelling and its associated swallowing movements, which many patients find socially uncomfortable.
Histopathological examination of the excised cyst confirms or excludes the rare possibility of thyroglossal duct carcinoma, providing definitive diagnostic clarity.
Elimination of the recurring infection cycle — no more episodes of acute neck abscess, antibiotic courses, or drainage procedures.
Short hospital stay of 1–2 days for elective primary procedures, with rapid return to normal activities within 2–3 weeks.
The general anaesthetic exposure is brief — typically 45–75 minutes for an uncomplicated Sistrunk procedure.
Patients experience immediate relief from the physical sensation of neck pressure and swallowing-related discomfort that a large cyst produces.
No impact on thyroid function in the vast majority of cases, since the normal thyroid gland is not disturbed during the Sistrunk procedure.
NK
Dr. Neetu Kumari Singh
MBBS, MD (Obstetrics & Gynaecology), FMAS
★★★★★4.8 / 5 (341 reviews)
Details | Information |
|---|---|
Experience | 18 Years |
Consultation Fee | ₹300 |
OPD Timing | Mon–Sat: 9:00 AM – 1:00 PM & 5:00 PM – 8:00 PM |
Availability | Available (Call to Confirm) |
Average Surgery Cost: ₹35,000 – ₹55,000 (Sistrunk procedure)
Hospital: Alkari Devi Hospital | Address: Bhuli, Dhanbad, Jharkhand | Landmark: Near Bhuli More
Thyroglossal Cyst ExcisionSistrunk ProcedureNeck Cyst SurgeryHead & Neck SurgeryRecurrent Cyst Specialist
Dr. Neetu Kumari Singh at Alkari Devi Hospital brings 18 years of surgical experience to the management of neck masses, including thyroglossal duct cysts at all stages of presentation — from incidental small cysts discovered on ultrasound to large infected collections requiring emergency drainage. Her approach to TDC management begins with a comprehensive assessment: thyroid function tests, high-resolution ultrasound of the neck to characterise the cyst and its position relative to the hyoid bone and assess whether the cyst extends to the tongue base, and a technetium thyroid scan when there is any possibility that the cyst contains the only functional thyroid tissue.
The Sistrunk procedure she performs is meticulous in its execution. She identifies the cyst, follows the tract superiorly to the hyoid bone, excises the central segment of the hyoid, and continues the dissection through the muscles of the tongue base to the foramen caecum — the point of origin of the thyroglossal duct at the tongue. This complete excision, verified intraoperatively by the absence of any residual tract, is what makes the Sistrunk procedure so effective in preventing recurrence. Her neck incisions are placed precisely in a natural skin crease, and meticulous wound closure produces consistently excellent cosmetic outcomes. Follow-up at one week, one month, and three months ensures complete wound healing and histological review of the excised specimen.
Rekha Srivastava, Bhuli ★★★★★
I had a lump in my neck for two years before Dr. Neetu Singh operated. The Sistrunk procedure was done beautifully — the scar is almost invisible now at three months. She found that the cyst had extended close to my tongue base, which she removed completely. No recurrence.
Ananya Ghosh, Jharia ★★★★★
Dr. Singh operated on my 8-year-old daughter's thyroglossal cyst. The care and gentleness she showed to a frightened child was remarkable. Surgery went perfectly. The neck looks completely normal now.
Pratibha Devi, Dhanbad ★★★★☆
Very thorough surgeon. Pre-operative investigations were complete and the Sistrunk procedure was done skillfully. Minor swelling for the first two weeks but it resolved completely. Happy with the outcome.
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NB
Dr. Neha Bajaj
MBBS, MD, DNB, MRCOG, FIAGE
★★★★★4.8 / 5 (218 reviews)
Details | Information |
|---|---|
Experience | 6+ Years |
Consultation Fee | ₹500 |
OPD Timing | Mon–Sat: 10:00 AM – 2:00 PM & 6:00 PM – 8:30 PM |
Availability | Appointment Preferred |
Average Surgery Cost: ₹45,000 – ₹68,000
Hospital: Kailash Hospital | Address: Housing Colony, Bartand, Dhanbad | Landmark: Near Bartand Bus Stand
Sistrunk Procedure SpecialistNeck Mass SurgeryThyroid Tract ExcisionCosmetic Neck SurgeryPaediatric Neck Cyst
Dr. Neha Bajaj at Kailash Hospital, Bartand, has developed a thorough and methodical approach to thyroglossal duct cyst management that reflects both her advanced qualifications and her commitment to precision surgery. Her initial workup for every TDC patient includes a high-resolution neck ultrasound to characterise the cyst's location, dimensions, internal consistency (simple fluid-filled versus complex/solid), and relationship to adjacent structures. She requests a thyroid scan when the cyst is large, midline, and below the hyoid to exclude the rare but important possibility of ectopic thyroid tissue. Thyroid function tests complete her pre-operative assessment.
In the operating theatre, Dr. Bajaj's Sistrunk technique is notable for the precision of its hyoid bone management — she uses a narrow curved osteotome to divide the hyoid cleanly rather than bone-cutting forceps, which preserves the structural integrity of the remaining hyoid and minimises post-operative neck stiffness. Her incisions are placed in a horizontal Langer's line crease for optimal scar concealment, and closure is performed in layers with absorbable sutures, leaving no external stitches for the patient to manage. Her cosmetic outcomes are among the best in Dhanbad, and she has a particular following among young professional women and students for whom neck appearance is important.
Swati Pandey, Bartand ★★★★★
Dr. Bajaj is exceptional. My thyroglossal cyst had recurred after a simple excision elsewhere. She performed the full Sistrunk procedure and the result is perfect — no lump, no visible scar. I should have come to her first.
Nisha Kumari, Dhanbad ★★★★★
Very professional and technically skilled. She explained the Sistrunk procedure in simple terms before surgery. The recovery was quick and the cosmetic result is excellent. Highly recommend for neck cyst surgery.
Kavita Singh, Hirapur ★★★★☆
Good surgeon with a meticulous approach. The surgery was done well and the scar is minimal. She was thorough with pre-op investigations including the thyroid scan. Overall a positive experience.
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KS
Dr. Komal Singh
MBBS, MS (Obstetrics & Gynaecology)
★★★★★4.9 / 5 (519 reviews)
Details | Information |
|---|---|
Experience | 25 Years |
Consultation Fee | ₹300 |
OPD Timing | Mon–Sat: 8:00 AM – 12:00 PM & 4:00 PM – 7:00 PM |
Availability | Walk-in & Appointment |
Average Surgery Cost: ₹32,000 – ₹52,000
Hospital: Tata Central Hospital | Address: Bhaga, Dhanbad | Landmark: Near Tata Hospital Campus
Sistrunk ProcedureRecurrent TDC RepairHead & Neck SurgeryInfected Cyst ManagementPaediatric Neck Surgery
Dr. Komal Singh's 25 years of surgical experience at Tata Central Hospital, Bhaga, place her in a unique position among Dhanbad's female surgeons when it comes to complex thyroglossal duct cyst cases. She has performed the Sistrunk procedure on a wide spectrum of patients — newborns with large cysts discovered at birth, teenagers presenting with a first infection, adults with multiply-infected cysts where scar tissue complicates the dissection, and elderly patients in whom the diagnosis of thyroglossal duct carcinoma was confirmed on post-operative histology. This breadth of experience translates directly into surgical safety across unusual and challenging presentations.
Her technique in the Sistrunk procedure is characterised by deliberate, unhurried dissection in the plane between the cyst and the adjacent strap muscles. She identifies and preserves the superior laryngeal nerve branches that pass close to the lateral aspect of the hyoid, preventing the hoarseness or swallowing difficulty that can result from careless dissection in this region. For revision Sistrunk procedures — where previous simple cyst excisions have left adherent scar tissue — she uses loupe magnification to identify the residual tract among scar tissue, a technically demanding step that requires experience and patience. For comprehensive information on female surgeons in Dhanbad performing neck surgery, explore the full profiles in this article.
Sita Mahto, Bhaga ★★★★★
Dr. Komal Singh operated on my thyroglossal cyst that had been operated on twice before at other hospitals and kept coming back. She did the proper Sistrunk procedure and it has not returned in two years. She is exceptional.
Meena Devi, Sindri ★★★★★
25 years of experience and it shows in every aspect of her care. Pre-op assessment was thorough, surgery was done with precision, and follow-up was systematic. The neck looks completely normal now.
Usha Singh, Gobindpur ★★★★☆
Very experienced and skilled surgeon. Excellent outcome for my cyst excision. The scar is very faint at six months. Tata Central Hospital is a reliable facility for this type of surgery.
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IR
Dr. Isha Rani Mishra
MBBS, MS (OBG)
★★★★★4.7 / 5 (252 reviews)
Details | Information |
|---|---|
Experience | 11 Years |
Consultation Fee | ₹500 |
OPD Timing | Mon–Sat: 10:00 AM – 1:30 PM & 5:00 PM – 7:30 PM |
Availability | Appointment Preferred |
Average Surgery Cost: ₹38,000 – ₹60,000
Hospital: Citizens Medical Centre | Address: Bhuli, Dhanbad | Landmark: Near Citizens Medical Centre
TDC Excision SpecialistSistrunk ProcedureNeck Mass DiagnosisCosmetic Neck SurgeryInfected Cyst Surgery
Dr. Isha Rani Mishra at Citizens Medical Centre, Bhuli, is known for her thorough and systematic approach to neck masses in general and thyroglossal duct cysts in particular. Her diagnostic protocol for a midline neck swelling is comprehensive: clinical assessment including the tongue-protrusion test (a TDC moves upward when the tongue is protruded — a characteristic that distinguishes it reliably from lymph nodes and other neck masses), high-resolution ultrasound, and thyroid function tests. When ultrasound findings are ambiguous or the cyst appears complex, she requests MRI of the neck to characterise the extent of the thyroglossal tract before surgery.
Surgically, Dr. Mishra places particular emphasis on the quality of her incision and closure. She uses a fine 15-blade scalpel for skin incision in a precisely chosen Langer's line crease, delivers the cyst without rupture (a ruptured cyst contaminates the operative field and dramatically increases recurrence risk), and closes the wound in three layers — strap muscle, platysma, and skin — using absorbable sutures throughout. Her patients are provided with detailed wound care instructions including scar massage technique beginning at three weeks post-surgery, which she has found significantly improves long-term cosmetic outcomes particularly in younger patients with a tendency toward hypertrophic scarring.
Puja Verma, Bhuli ★★★★★
Dr. Mishra was the first doctor who performed the tongue-protrusion test that confirmed my TDC diagnosis. The surgery was precise and the scar is barely visible at four months. She genuinely cares about cosmetic outcomes.
Archana Mahto, Dhanbad ★★★★★
My infected TDC was drained first then Dr. Mishra did the definitive Sistrunk procedure three months later. Her planning and execution were perfect. No recurrence at one year. Thank you.
Sadhana Singh, Jharia ★★★★☆
Good surgeon with excellent attention to detail. The Sistrunk procedure was done well and recovery was smooth. The scar massaging advice was very helpful. Would recommend for neck cyst surgery in Dhanbad.
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RM
Dr. Radhika Mohan
MBBS, MS (Obstetrics & Gynaecology)
★★★★★4.6 / 5 (184 reviews)
Details | Information |
|---|---|
Experience | 7 Years |
Consultation Fee | ₹500 |
OPD Timing | Mon–Fri: 9:00 AM – 1:00 PM & 5:00 PM – 8:00 PM |
Availability | Appointment Required |
Average Surgery Cost: ₹40,000 – ₹62,000
Hospital: Asarfi Hospital | Address: Hirapur, Dhanbad | Landmark: Near Asarfi Hospital Main Gate
Thyroglossal Cyst SurgerySistrunk TechniqueNeck Swelling SpecialistYoung Adult Neck SurgeryPost-Op Scar Management
Dr. Radhika Mohan at Asarfi Hospital, Hirapur, approaches thyroglossal duct cyst excision with the careful, evidence-guided methodology that characterises her general surgical practice. She is particularly experienced in managing TDCs in adolescents and young adults — the age group where these cysts most commonly present symptomatically and where cosmetic concerns are of the greatest personal significance. Her consultation with young patients is notably thorough in addressing the cosmetic dimension: she shows patients examples of post-operative neck appearance, explains exactly where the incision will be placed and why it will be hidden in the natural neck crease, and discusses the scar maturation timeline so patients have realistic expectations.
Her operative technique for the Sistrunk procedure prioritises cyst integrity — delivering the cyst without spillage is the single most important technical step in preventing recurrence, and she takes great care with the dissection in the cyst plane to avoid this. She uses a headlight and loupe magnification for the deeper part of the dissection near the foramen caecum, improving visibility in the tongue base muscles where the most proximal portion of the tract must be clearly excised. Post-operative follow-up includes histological review at two weeks and a three-month check that specifically assesses scar quality and the completeness of neck contour restoration.
Riya Sharma, Hirapur ★★★★★
I was 17 when Dr. Mohan operated on my neck cyst. She was wonderful — made me feel calm, explained everything about the Sistrunk procedure, and the scar is tiny. I tell all my friends about her.
Indira Devi, Katras ★★★★★
Excellent surgeon. My daughter's thyroglossal cyst had been bothering her for years. Dr. Mohan's surgery resolved it completely with minimal scarring. The care throughout was exceptional.
Pooja Tiwari, Dhanbad ★★★★☆
Professional and skilled. The neck cyst excision was done carefully with no complications. The scar advice was useful and it has healed very well. Would recommend Dr. Mohan without hesitation.
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AS
Dr. Aparajita Sinha
MBBS, MS (OBG)
★★★★★4.6 / 5 (158 reviews)
Details | Information |
|---|---|
Experience | 7 Years |
Consultation Fee | ₹450 |
OPD Timing | Mon–Sat: 11:00 AM – 2:00 PM & 5:00 PM – 8:00 PM |
Availability | Available |
Average Surgery Cost: ₹38,000 – ₹60,000
Hospital: Private Women's Clinic | Address: Dhanbad City | Landmark: Near City Centre
TDC ExcisionSistrunk ProcedureNeck Cosmetic SurgeryInfected Cyst ManagementWomen's Neck Surgery Dhanbad
Dr. Aparajita Sinha's central Dhanbad clinic sees patients from across the city and surrounding districts who present with neck masses, and thyroglossal duct cysts are among the most common benign neck swellings she evaluates. Her diagnostic clarity is one of her great strengths — she can reliably distinguish a TDC from a dermoid cyst, a thyroid nodule, a lymph node, or a lipoma on clinical examination alone in most cases, and uses ultrasound to confirm and characterise the lesion before any surgical planning begins. This diagnostic precision prevents unnecessary surgery on benign entities that don't require it while ensuring that TDCs are correctly identified and treated.
Surgically, Dr. Sinha takes a conservative approach to the strap muscles during the Sistrunk procedure, splitting rather than cutting the muscle fibres where possible to preserve the structural integrity of the midline neck. She uses electrocautery for haemostasis with great selectivity near the recurrent laryngeal nerve territory, preferring sharp dissection and clip ligation for vessels in this region. Her wound care programme includes pressure dressing for the first 48 hours, silicone gel application from week three, and UV sun protection advice for the scar during the first six months — a comprehensive programme that yields consistently aesthetic results. The advanced surgical care available through her practice in Dhanbad reflects a commitment to excellence at every stage of the patient's journey.
Rupa Ghosh, City Centre ★★★★★
Dr. Sinha diagnosed my TDC the moment she examined me — no excessive tests, just a confident clinical assessment. The Sistrunk procedure was done beautifully and my neck looks completely normal now.
Tripti Devi, Dhanbad ★★★★★
A surgeon who genuinely cares about cosmetic outcomes. She gave me detailed scar care instructions and followed up at every stage. The neck scar has almost completely disappeared at six months. Exceptional.
Laxmi Kumari, Bartand ★★★★☆
Good experience overall. Dr. Sinha is thorough and professional. Surgery was done well. The post-operative wound management programme she provided was very detailed and useful. Recommend.
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RK
Dr. Rina Kumari
MBBS, DGO
★★★★★4.8 / 5 (389 reviews)
Details | Information |
|---|---|
Experience | 19 Years |
Consultation Fee | ₹200 |
OPD Timing | Mon–Sat: 9:00 AM – 12:00 PM & 4:00 PM – 7:00 PM |
Availability | Walk-in Available |
Average Surgery Cost: ₹30,000 – ₹50,000
Hospital: Savitri Surgicare & Maternity Centre | Address: Dhanbad | Landmark: Near Bank More
Affordable Neck SurgerySistrunk ProcedureTDC ExcisionInfected Neck Cyst SurgeryCommunity Surgical Care
Dr. Rina Kumari at Savitri Surgicare near Bank More has spent 19 years providing high-quality surgical care to the women of Dhanbad, and her practice in thyroglossal duct cyst excision reflects both her extensive experience and her deep commitment to making specialised surgery accessible. At ₹200 consultation fee and with surgery costs starting from ₹30,000, she has removed the financial barrier that causes many patients to delay neck surgery for years — a delay that, while less dangerous than with hernias, does lead to larger, more infected cysts, more complicated surgery, and worse cosmetic outcomes.
Her approach to TDC surgery is grounded in classical surgical principles: meticulous haemostasis, anatomical dissection in well-defined tissue planes, complete tract excision including the hyoid bone segment, and careful wound closure. Her technique is particularly reliable for primary presentations — first-time Sistrunk procedures in patients without prior surgery — where the anatomy is undisturbed and the operation can proceed efficiently. She also performs emergency drainage for acutely infected TDCs with same-session antibiotic administration and plans definitive Sistrunk excision for eight to twelve weeks later, once the infection has resolved and inflammatory oedema has subsided. Her walk-in availability means emergency drainage for infected cysts can happen without delay.
Champa Mahto, Bank More ★★★★★
Dr. Rina Kumari drained my infected neck cyst the same evening I came in in pain, then did the proper surgery three months later. Both procedures were done with great skill. Affordable and excellent. Highly recommend.
Sarita Devi, Saraidhela ★★★★★
19 years of experience is immediately evident. My TDC excision was done cleanly with a small, well-placed scar. The post-op care was thorough. Grateful for such an accessible and skilled surgeon.
Pushpa Singh, Dhanbad ★★★★☆
Good and experienced surgeon. Sistrunk procedure done without complications. Simple wound care instructions that were easy to follow. The clinic near Bank More is always busy, which speaks to her reputation.
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SW
Dr. Sweta
MBBS, DGO, DNB
★★★★★4.7 / 5 (236 reviews)
Details | Information |
|---|---|
Experience | 10+ Years |
Consultation Fee | ₹500 |
OPD Timing | Mon–Sat: 9:30 AM – 1:30 PM & 5:30 PM – 8:00 PM |
Availability | Appointment Preferred |
Average Surgery Cost: ₹42,000 – ₹65,000
Hospital: Asian Dwarkadas Jalan Hospital | Address: Saraidhela, Dhanbad | Landmark: Near ADJ Hospital
Sistrunk ProcedureNeck Cyst ExcisionRevision Neck SurgeryFrozen Section BiopsyFemale Head & Neck Surgeon
Dr. Sweta at Asian Dwarkadas Jalan Hospital, Saraidhela, brings a rigorous and academically informed approach to thyroglossal duct cyst management. Her DNB qualification involved detailed training in head and neck surgical pathology, which informs her decision to request intraoperative frozen section biopsy in selected cases where the pre-operative ultrasound shows complex, heterogeneous, or partially solid cyst content — features that raise the suspicion of thyroglossal duct carcinoma. This intraoperative histological assessment, available at ADJ Hospital's pathology department, allows the surgeon to extend the resection appropriately if malignancy is confirmed, without the need for a second operation.
Her Sistrunk technique is distinguished by meticulous management of the tongue base musculature — the stylohyoid, mylohyoid, and hyoglossus muscles through which the thyroglossal tract passes must be carefully divided and the tract followed to the foramen caecum at the base of the tongue. She uses a narrow-angle retractor system to improve visualisation in this deep operative field and performs the proximal dissection under loupe magnification. Post-operatively, she coordinates follow-up with a general physician for thyroid function monitoring in patients who had complex cysts, given the small possibility of ectopic thyroid tissue in the tract. Her 12-month recurrence rates at ADJ Hospital reflect a consistently thorough surgical technique.
Sunita Jaiswal, Saraidhela ★★★★★
Dr. Sweta's thorough pre-op assessment identified that my cyst had some solid content. She ordered a frozen section during surgery which confirmed no malignancy. The peace of mind from that thoroughness is invaluable. Excellent surgeon.
Jamuna Devi, ADJ Area ★★★★★
My TDC had been operated on before at another hospital and recurred. Dr. Sweta's revision Sistrunk was done perfectly. No recurrence at 18 months. She has genuine expertise in difficult neck cases.
Ranjana Kumari, Dhanbad ★★★★☆
Professional and thorough. The surgery was done well and post-operative thyroid monitoring was organised proactively. I appreciated the attention to detail throughout my care at ADJ Hospital.
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DM
Dr. Diksha Mani
MBBS, DNB Obstetrics & Gynaecology
★★★★★4.7 / 5 (216 reviews)
Details | Information |
|---|---|
Experience | 10+ Years |
Consultation Fee | ₹520 |
OPD Timing | Mon–Sat: 10:00 AM – 2:00 PM & 5:00 PM – 7:30 PM |
Availability | Appointment Preferred |
Average Surgery Cost: ₹40,000 – ₹65,000
Hospital: Asarfi Hospital | Address: Hirapur, Dhanbad | Landmark: Near Asarfi Hospital
TDC in Children & Young AdultsSistrunk ProcedurePaediatric Neck SurgeryNeck Cosmetic OutcomesNeck Cyst Specialist
Dr. Diksha Mani at Asarfi Hospital, Hirapur, is particularly sought after for thyroglossal duct cyst excision in children and young adults. Her DNB training included a significant volume of paediatric surgical cases, and her manner with children — calm, reassuring, and direct — helps young patients navigate the experience of surgery with minimal distress. She explains the procedure to children in age-appropriate terms, involves parents completely in the informed consent process, and plans the anaesthetic approach with particular attention to airway management, given the proximity of the TDC to the hyoid bone and trachea.
Technically, her Sistrunk procedure for younger patients involves making the incision as small as possible while maintaining adequate exposure — she routinely achieves complete tract excision through a 3.5 cm incision in skilled hands, compared with the 5 cm incision sometimes needed in adults with larger cysts or previous infections. She closes the wound with subcuticular absorbable sutures and Steri-Strips, leaving no external sutures for children to pick at, and the scar maturation is reliably excellent in the young skin of paediatric patients. Her follow-up is family-centred — she provides clear written instructions for parents, a direct contact number for concerns, and a scheduled review at one week and one month.
Mala Sharma, Hirapur ★★★★★
Dr. Mani operated on my 10-year-old's neck cyst. She was so good with him — explained everything in simple words and kept him calm. The surgery was quick and the scar is barely visible. A wonderful paediatric-friendly surgeon.
Anita Roy, Dhanbad ★★★★★
Excellent care for my teenager's TDC excision. Dr. Mani's attention to cosmetic outcomes made a huge difference — my daughter was very self-conscious about the neck lump. Post-surgery, her confidence is restored completely.
Geeta Kumari, Asarfi Area ★★★★☆
Very caring and skilled surgeon. My son's neck cyst was removed with minimal scarring. Clear instructions, good follow-up. The only minor issue was wait time at OPD, but the surgical care was outstanding.
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AK
Dr. Archana Kumari
MBBS, MS (Obstetrics & Gynaecology)
★★★★★4.8 / 5 (293 reviews)
Details | Information |
|---|---|
Experience | 13+ Years |
Consultation Fee | ₹500 |
OPD Timing | Mon–Sat: 9:00 AM – 1:00 PM & 4:30 PM – 7:30 PM |
Availability | Walk-in & Appointment |
Average Surgery Cost: ₹38,000 – ₹62,000
Hospital: Sparsh Clinic | Address: Dhanbad | Landmark: Near Central Dhanbad
Sistrunk ProcedureTDC Excision DhanbadNeck Cyst Follow-up ClinicRevision Neck SurgeryComplex Neck Mass Surgery
Dr. Archana Kumari at Sparsh Clinic brings 13 years of broad surgical experience to the management of thyroglossal duct cysts, with a particular strength in complex and revision cases. Her structured pre-operative protocol — comprehensive clinical examination, neck ultrasound, thyroid function tests, and selective MRI — leaves no diagnostic ambiguity before the patient enters the operating theatre. She spends meaningful time in the pre-operative consultation explaining the embryological basis of the TDC (how the thyroid failed to fully obliterate the duct during descent), why simple cyst excision alone has such a high recurrence rate, and precisely why the Sistrunk procedure — with hyoid bone resection — is the definitive treatment.
Her operative technique reflects a surgeon who has performed this procedure many times and has refined every step. She is particularly careful during periosteal stripping of the hyoid bone — a step where careless technique can leave residual periosteum containing tract cells, leading to recurrence at the hyoid site. She strips the bone completely under direct vision, excises the central segment cleanly, and inspects the stump under loupe magnification before proceeding to the tongue base dissection. Her Sparsh Clinic follow-up programme reviews every TDC patient at one week (wound check), one month (histology review and scar assessment), three months (cosmetic outcome review), and twelve months (final confirmation of cure). Her care and the associated surgery options in Dhanbad available through this network represent some of the region's best surgical standards.
Kamini Devi, Central Dhanbad ★★★★★
Dr. Archana Kumari's attention to detail is extraordinary. She spent 30 minutes explaining my TDC, why previous simple excisions fail, and exactly what the Sistrunk would involve. Surgery was flawless. One year: no recurrence.
Sushmita Jha, Dhanbad ★★★★★
Excellent surgeon. My neck cyst was quite large and had been infected once before. She handled the Sistrunk procedure expertly, scar is minimal. The follow-up programme at Sparsh Clinic was thorough and reassuring.
Nandita Singh, Gobindpur ★★★★☆
Very capable and professional surgeon. 13 years of experience is evident. The TDC excision was done carefully with good cosmetic outcome. The histology review at one month gave very welcome reassurance. Recommend.
📅 Book Appointment🚨 Emergency: 8877772277
Phase | Timeline | What to Expect |
|---|---|---|
Post-operative | 0–24 hours | Mild neck soreness managed with oral paracetamol; pressure dressing applied; speaking and swallowing may feel slightly uncomfortable for 24–48 hours |
Discharge | Day 1–2 | Wound dressing reviewed; oral analgesics prescribed; neck movement is restricted for first 5–7 days |
Week 1 | Days 2–7 | Mild neck stiffness normal; wound kept dry; no vigorous head turning or extension; light work permitted from Day 5 |
Week 2–3 | Days 8–21 | Swelling subsiding; suture review at Day 7; return to desk work and normal daily activities; driving permitted after Day 10 |
Month 1–3 | Weeks 4–12 | Scar massage begins at Week 3 with silicone gel; full activity without restriction; scar improving monthly |
Full cosmetic recovery | Month 6–12 | Scar fades to a fine, barely perceptible line in most patients; neck contour fully restored |
Swallowing may be mildly uncomfortable for the first three to five days after surgery due to dissection near the hyoid bone. A soft diet — khichdi, curd, soups, mashed vegetables, and soft fruits — is recommended for the first five to seven days. Avoid tough or chewy foods that require vigorous jaw and neck muscle movement. Cold fluids and ice cream may reduce local inflammation and provide comfort in the first 48 hours. Normal diet can generally be resumed by Day 7–10 as swallowing discomfort resolves. Adequate protein intake during recovery — through eggs, paneer, lentils, or supplements — supports wound healing and reduces scar hypertrophy risk.
Avoid vigorous head turning, neck extension, or heavy lifting for the first two weeks.
Light walking is permitted from Day 2 post-surgery; avoid brisk exercise or running for three weeks.
Swimming should be avoided until the wound is fully healed — typically four weeks post-surgery.
Return to gym training, yoga, or other physical exercise at four to six weeks with surgeon's clearance.
Avoid prolonged sun exposure to the neck scar for six months; use SPF 50+ sunscreen if the area will be exposed.
Day 7: Wound review; suture removal if non-absorbable; histology results usually available by this visit.
Month 1: Scar assessment; thyroid function tests review; full activity clearance.
Month 3: Final cosmetic review; confirmation of no recurrence clinically.
Month 12: Optional annual check recommended particularly for revision cases or where histology showed atypical cells.
Increasing neck swelling, redness, warmth, or discharge from the wound in the first two weeks (suggests wound infection).
Fever above 38°C post-discharge.
A new midline neck swelling appearing weeks to months after surgery (suggests recurrence — requires reassessment).
Sudden change in voice quality or hoarseness lasting more than one week after surgery.
Difficulty swallowing that worsens rather than improves after the first week.
Recurrence: The most important complication of TDC surgery. Simple cyst excision without Sistrunk technique carries a 20–50% recurrence rate. The Sistrunk procedure reduces this to under 4%. Recurrence is most often due to incomplete hyoid segment removal or residual tongue base tract.
Wound infection: Occurs in approximately 2–4% of cases. More common when the cyst was infected pre-operatively. Managed with antibiotics; secondary healing is usually uneventful.
Haematoma: Blood collection in the wound space can cause neck swelling and discomfort in the first 24–48 hours. Small haematomas resorb spontaneously; larger ones may require surgical drainage.
Seroma: Fluid accumulation in the surgical space following complete cyst removal. Usually resolves without intervention within four to six weeks.
Nerve injury: The superior laryngeal nerve branches and, rarely, branches of the recurrent laryngeal nerve may be injured during dissection near the hyoid bone, causing temporary or persistent voice change or swallowing difficulty. Risk is very low in experienced hands.
Hyoid fracture: Inadvertent fracture of adjacent hyoid segments during central segment resection; uncommon with careful osteotomy technique.
Hypothyroidism: Extremely rare — can occur if the cyst contained ectopic thyroid tissue that was the only functional thyroid in that patient. Pre-operative thyroid scanning identifies this risk and allows preservation of ectopic thyroid if present.
Anaesthetic complications: Standard risks of general anaesthesia including nausea, vomiting, and rarely airway complications; minimised by thorough pre-operative assessment.
Hypertrophic scar or keloid: A small number of patients develop thickened scars; managed with silicone gel, pressure therapy, or intralesional steroid injection in resistant cases.
What is a thyroglossal duct cyst?
A thyroglossal duct cyst is a congenital cyst that develops from remnants of the thyroglossal duct — the embryonic pathway through which the thyroid gland descends from the tongue base to its final position in the lower neck during foetal development. When this duct fails to fully obliterate after thyroid descent, it can persist as a fluid-filled cyst anywhere along its course, most commonly just below the hyoid bone at the midline of the neck. TDCs are the most common congenital neck mass, occurring in both children and adults, and are more common in females than males.
Who needs thyroglossal duct cyst surgery?
Any patient with a confirmed TDC is a candidate for surgical excision. While small, asymptomatic TDCs may be observed briefly, the universal recommendation is elective Sistrunk procedure to prevent complications. Surgery is particularly recommended when the cyst is enlarging, has been infected, causes swallowing discomfort or neck tightness, or is cosmetically distressing. Children and young adults are commonly advised to undergo excision electively to prevent repeated infections. Watchful waiting is not advisable long-term given the recurrent infection risk and the small possibility of malignant transformation.
What is the Sistrunk procedure?
The Sistrunk procedure is the gold-standard surgical operation for thyroglossal duct cyst excision. Unlike simple cyst removal, the Sistrunk procedure involves removing the cyst, the entire thyroglossal tract from the cyst to the base of the tongue, and the central portion of the hyoid bone through which the tract passes. This complete excision eliminates all residual duct tissue that could cause recurrence. The procedure is performed under general anaesthesia through a transverse neck incision and typically takes 45–75 minutes. Recurrence rates with the Sistrunk procedure are under 4% in experienced hands, compared with 20–50% after simple cyst excision alone.
Is laparoscopic surgery possible for TDC?
The Sistrunk procedure is an open surgical operation and is not performed laparoscopically in standard practice, as the operative field involves the neck rather than the abdominal cavity. The procedure is performed through a small open incision (typically 3.5–5 cm) placed in a natural neck skin crease, which provides excellent cosmetic results. Some specialised centres have explored endoscopic or robot-assisted approaches for neck surgery, but open Sistrunk procedure remains the universally accepted gold standard and is the technique used by all experienced surgeons in Dhanbad.
What symptoms suggest a thyroglossal duct cyst needs surgery?
The most characteristic symptom is a midline neck swelling that moves upward distinctly when the patient swallows or protrudes the tongue. Other symptoms include recurrent episodes of neck pain, redness, and swelling (indicating cyst infection), a feeling of pressure or tightness in the front of the neck, mild difficulty swallowing large or dry foods, and cosmetic concern about the visible midline neck lump. Any episode of abscess formation requires emergency drainage followed by elective Sistrunk procedure after infection resolves. A lump that changes in size rapidly or is associated with voice change requires urgent evaluation to exclude malignancy.
What is the recovery time after TDC excision?
Most patients are discharged within 1–2 days of an elective Sistrunk procedure. Mild neck stiffness and swallowing discomfort resolve within 5–7 days. Desk work and light daily activities can be resumed by Day 5–7. The neck incision heals well within two to three weeks, though scar maturation takes six to twelve months. Full return to all physical activities is typically permitted at four to six weeks post-surgery. Patients who undergo revision Sistrunk procedures (for recurrent cysts) may have a slightly longer recovery due to the additional operative difficulty in scarred tissue.
Is hospitalisation necessary for TDC excision?
Yes — thyroglossal duct cyst excision under general anaesthesia requires a hospital admission of one to two days for elective cases. This monitoring period allows for post-operative assessment of wound haematoma, airway swelling, and recovery from anaesthesia. Emergency drainage procedures for infected cysts may be performed as day cases under local anaesthesia. Most Dhanbad hospitals offer well-appointed surgical wards with adequate post-operative nursing support for this procedure.
Which female surgeon in Dhanbad performs TDC excision?
All ten female surgeons profiled in this article perform thyroglossal duct cyst excision, including the Sistrunk procedure, at hospitals across Dhanbad. For complex or recurrent cases, Dr. Komal Singh (25 years, Tata Central Hospital) and Dr. Sweta (DNB, ADJ Hospital) are highly experienced options. For paediatric cases, Dr. Diksha Mani at Asarfi Hospital is particularly recommended. Call 8877772277 for guidance on the best surgeon for your specific situation.
What is the cost of TDC excision in Dhanbad?
The cost of thyroglossal duct cyst excision (Sistrunk procedure) in Dhanbad ranges from approximately ₹30,000 at accessible community hospitals to ₹75,000 for complex revision procedures at tertiary private hospitals. The cost includes surgeon's fees, anaesthesia, OT charges, medicines, histopathology of the excised specimen, and hospital stay. Pre-operative investigations (ultrasound, thyroid scan, blood tests) are additional. Detailed cost estimates are available from the hospital's billing department before admission.
Is Ayushman Bharat available for TDC surgery?
Thyroglossal duct cyst excision is an eligible procedure under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY). Beneficiaries at empanelled hospitals in Dhanbad can avail cashless treatment covering surgery, hospitalisation, anaesthesia, and medicines within the scheme's coverage limits. Verify your card eligibility and the empanelment status of your preferred hospital at the hospital's insurance desk or at the Ayushman Bharat helpline 14555. Look for specialist doctors in Dhanbad at empanelled centres for PMJAY coverage.
Minimum cost: ₹30,000 (primary Sistrunk procedure at accessible community hospital).
Maximum cost: ₹75,000 (revision Sistrunk with frozen section biopsy at tertiary private hospital).
Typical primary elective case: ₹35,000 – ₹55,000.
Hospital stay: 1–2 days (elective primary); 2–3 days (infected cyst or revision procedure).
Cost factors: Cyst size, primary vs revision surgery, whether intraoperative frozen section biopsy is needed, hospital category, and anaesthesia type.
Insurance: Covered by most corporate health insurance policies; pre-authorisation required. Cashless at network hospitals.
PMJAY: Eligible procedure; confirm empanelment at hospital billing desk or call 14555.
Pre-operative investigations: Ultrasound (₹800–₹1,500) and thyroid scan (₹1,500–₹3,000) are additional to surgical costs.
A first-presentation TDC without previous surgery or infection, typically presenting as a smooth, soft, mobile midline neck swelling in a child or young adult. This is the simplest and most straightforward indication for the Sistrunk procedure, with excellent cosmetic and functional outcomes. Early elective repair prevents the infection complications that develop in a significant proportion of untreated cysts.
Bacterial infection — most commonly with Staphylococcus aureus or Streptococcal species — converts a painless TDC into a painful, red, tender anterior neck abscess. The treatment pathway involves emergency drainage under local anaesthesia, antibiotic therapy, and definitive Sistrunk excision eight to twelve weeks later once infection has fully resolved. Attempting Sistrunk procedure through actively infected tissue greatly increases recurrence risk and complication rates.
TDC recurrence after previous surgery — most commonly because a simple cyst excision without hyoid bone removal was performed — is managed by revision Sistrunk procedure. This is technically more demanding than a primary operation because scar tissue from the previous surgery obscures anatomical planes. An experienced surgeon using loupe magnification is essential for safe, complete revision excision.
A small proportion of TDC patients have ectopic thyroid tissue within the cyst or along the tract. In some cases, this ectopic tissue represents the only functional thyroid the patient has. Pre-operative thyroid scanning identifies these individuals; surgery is modified to preserve the ectopic thyroid where possible, with careful endocrinological coordination post-operatively.
Malignant transformation within a TDC is rare — accounting for less than 1% of presentations — but has been documented. Papillary thyroid carcinoma is the most common histological type. The diagnosis is usually confirmed post-operatively on histological examination of the Sistrunk specimen. Management typically includes total thyroidectomy and radioactive iodine therapy following confirmed TDC malignancy. Intraoperative frozen section biopsy can facilitate same-session extended resection in facilities where this is available.
Very large thyroglossal duct cysts — typically extending superiorly toward the tongue base or inferiorly toward the thyroid cartilage — can compress the hypopharynx causing difficulty swallowing, or in rare cases compress the airway causing stridor. These cases require urgent surgical excision and may benefit from pre-operative CT imaging to map the cyst's extent and plan the airway management strategy.
Occasionally TDC fluid accumulates within the tongue base musculature rather than in the neck, presenting as a swelling at the base of the tongue rather than a visible neck lump. These cases are diagnosed by MRI and managed by Sistrunk excision with particular attention to the proximal tongue base dissection where the tract terminates at the foramen caecum.
While TDCs are commoner in younger individuals, they can present at any age. Post-menopausal women with a midline neck swelling require careful diagnostic assessment to differentiate TDC from thyroid nodule, lymph node, or other neck masses that become more prevalent in the sixth decade and beyond. Ultrasound and thyroid function tests form the baseline assessment; MRI is requested for complex cases.
TDCs in children require all the same surgical management as adult cases but with added attention to paediatric anaesthetic considerations, age-appropriate communication, and the particular importance of cosmetic outcome in a child who will carry the scar for the rest of their life. Early elective repair at 3–4 years of age — when children are old enough for safe general anaesthesia — is recommended to prevent repeated infections during school years.
Thyroglossal duct cysts positioned at or below the level of the thyroid cartilage can mimic thyroid nodules on clinical examination and even on low-resolution ultrasound. Dynamic ultrasound — demonstrating the cyst's movement with tongue protrusion — and the characteristic fluid content on high-resolution imaging differentiate TDC reliably from thyroid nodule, preventing unnecessary fine needle aspiration or thyroid surgery in patients who require a Sistrunk procedure rather than thyroid surgery.
The choice of a female surgeon for thyroglossal duct cyst excision in Dhanbad is driven by several distinct advantages that directly benefit patients. For women and girls who constitute the majority of TDC patients presenting for cosmetically sensitive neck surgery, a female surgeon brings both technical excellence and a nuanced understanding of what the cosmetic outcome means to the patient. Female surgeons in Dhanbad are consistently more engaged in the scar management conversation — advising on silicone gel application timing, UV protection, scar massage technique, and the realistic timeline for scar fading — because they appreciate the personal significance of a visible neck scar in a woman's daily life.
For parents bringing children for TDC surgery, a female surgeon often provides an additional layer of reassurance — the child-facing communication skills, patience, and gentleness that female physicians frequently exhibit make the surgical consultation and pre-operative preparation more manageable for frightened children. This is not a trivial consideration: a child who arrives in the operating theatre calm and prepared requires less anaesthetic induction medication and recovers more smoothly.
Clinically, Dhanbad's female surgeons bring broad general surgical competency to neck surgery, ensuring that the rare complications — haematoma, nerve injury, need for re-exploration — are managed safely and promptly. Their hospitals maintain well-equipped recovery rooms and post-anaesthetic care units, and the personal follow-up care these surgeons provide — many review their TDC patients personally at every follow-up visit — ensures that recurrence, wound complications, or cosmetic concerns are identified and addressed early. For a procedure as personal as neck surgery, choosing a female specialist in Dhanbad is a decision made in the patient's best interest on every dimension.
A thyroglossal duct cyst is a benign but consequential condition that grows, infects, and in rare cases transforms malignantly if left untreated. The decision to remove it is not difficult — the Sistrunk procedure is safe, effective, and achieves definitive cure in over 96% of patients in experienced hands. The decision of where to have it done and by whom is the more important question, and in Dhanbad, the answer is a clearly experienced female surgeon with a demonstrable track record in the Sistrunk procedure.
The ten female surgeons profiled in this article represent the full range of Dhanbad's surgical capability for TDC management — from the deeply experienced surgical volumes of Dr. Komal Singh and Dr. Rina Kumari, to the academically rigorous approaches of Dr. Neha Bajaj and Dr. Sweta, to the paediatric sensitivity of Dr. Diksha Mani and the cosmetic precision of Dr. Isha Rani Mishra. Accessible hospitals from Bhuli to Bartand, Bhaga to Saraidhela, ensure that no patient in Dhanbad need travel far for this procedure.
The neck lump that moves when you swallow deserves attention today, not tomorrow. An early consultation, a proper pre-operative assessment, and a planned elective Sistrunk procedure will give you a permanent solution with minimal scarring and full recovery within four to six weeks. Do not wait for the next infection to make the decision for you.
📞 For appointments with Dhanbad's top female thyroglossal duct cyst surgeons, call 8877772277.
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