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Thyroglossal Duct Cyst

Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Cyst composed of epithelial remnants of the thyroglossal tract as it descends from foramen cecum at tongue base to the lower neck

  • Midline neck mass at the level of the thyrohyoid memb...

DIAGNOSIS

HISTORY

  • Most often asymptomatic midline neck mass

  • Can present as enlarged mass following URI or if infected then present with swelling, pain, dyspnea, dysphagia

  • Foul taste in the mouth if the s...

TREATMENT

GENERAL MEASURES

  • Antibiotics for infections

  • Pain control

MEDICATION

  • Infected cysts/sinuses are first managed by treating the infection, allowing time for inflammation to decrease for elective su...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Unrestricted; if a thyroglossal duct is not removed, as many as half will become reinfected so surgical follow-up is critical.

  • Infection before surgery is a well-d...

REFERENCES

1
Oomen KP, Modi VK, Maddalozzo J. Thyroglossal duct cyst and ectopic thyroid: surgical management. Otolaryngol Clin North Am.  2015;48(1):15–27. [View Abstract on OvidMedline]
2
Huoh KC,...

ADDITIONAL READING

  • Ibrahim M, Hammoud K, Maheshwari M, et al. Congenital cystic lesions of the head and neck. Neuroimaging Clin N Am.  2011;21(3):621–639, viii. [View Abstract on OvidMedline]

  • Kayh...

CODES

ICD10

Q89.2 Congenital malformations of other endocrine glands 

ICD9

759.2 Anomalies of other endocrine glands 

SNOMED

39462005 Thyroglossal duct cyst 

CLINICAL PEARLS

  • Often asymptomatic midline neck mass at the level of the thyrohyoid membrane, closely associated with the hyoid bone

  • If patient has signs of dysphonia, dyspnea, or dysphagia, the airway...

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