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Thyroglossal Duct Cyst in a 3-Month-Old Infant: A Rare Case

Sinan Atmaca1, Ayşe Çeçen1, Esra Kavaz1

  • 1Department of Otorhinolaryngology, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.

Turkish Archives of Otorhinolaryngology
|February 3, 2018
PubMed

Insights

Thyroglossal duct cyst (TGDC) is a common congenital neck mass, rarely seen in infants. This case highlights a 3-month-old infant successfully treated for TGDC, emphasizing early diagnosis and surgical intervention.

Area of Science:

  • Pediatric Surgery
  • Congenital Abnormalities
  • Head and Neck Surgery

Background:

  • Thyroglossal duct cyst (TGDC) is the most common congenital midline neck mass in children.
  • TGDC typically presents around age 5, often after a respiratory infection.
  • Infantile presentation of TGDC is uncommon.

Observation:

  • A 3-month-old infant presented with a 3x3 cm infrahyoid midline neck mass with a draining sinus.
  • The mass had been present since 15 days of age and was initially treated with antibiotics.
  • The mass moved with swallowing, characteristic of TGDC.

Findings:

  • Histopathologic examination confirmed Thyroglossal Duct Cyst (TGDC).
  • The infant underwent successful Sistrunk operation under general anesthesia.
  • One-year follow-up showed no recurrence of the TGDC.

Implications:

  • This case underscores the possibility of TGDC in very young infants.
  • Early diagnosis and surgical management (Sistrunk operation) are crucial for successful outcomes.
  • Prompt surgical intervention can prevent complications and recurrence in pediatric TGDC.

Keywords:
Sistrunk operationThyroglossal duct cystcongenital anomalyneck mass

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