Navigating a Giant Thyroglossal cyst: A Compelling Case Study

Thyroglossal duct cysts are congenital neck cysts, formed as a result of the failure of the thyroglossal duct to involute during embryogenesis. We present a case of a 55- year-old male who presented with a history of a large anterior neck mass measuring 11 x 8.5 cm. The mass was long standing and the patient presented to us 30 years after noticing it due to dysphagia and change in voice. A clinical diagnosis of TGDC was made based on clinical history, fine-needle aspiration biopsy and radiographic findings. The patient was treated with Sistrunk's procedure. No recurrence and post-operative morbidity was noted on a 3 year follow-up. Sistrunk's procedure with dissection of the posterior hyoid space is the standard of care with time-tested outcomes.