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Thyroglossal Duct Cyst

Travis Weinsheim, DO, Jason E. Cohn, DO, MS and Mark C. Lentner, DO, MMS Reviewed 06/2018
 


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.

  • Kayhan FT, Yigider AP, Koc AK, et a...

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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