Thursday 23 August 2012

WHAT ARE THYROGLOSSAL CYSTS

Thyroglossal cysts are fibrous cysts that forms due to a persistent thyroglossal duct. The thyroid gland usually develops in the oropharynx and then it descends to its final position through tongue, hyoid bone and neck muscles making a thyroglossal duct which usually closes before birth. If it remains open it is called persistent thyroglossal duct which can lead to a thyroglosssal cyst formation.

Symptoms:

Usually patients present with palpable lump in the midline of neck between thyroid and hyoid bone which moves swallowing and upward with protrusion of neck. Usually the patients are asymptomatic but a few of them might complain of dysphagia i.e. difficulty in swallowing or he can present with difficulty in breathing. Sometimes cysts can get infected.

Treatment:

Surgical removal is the mainstay. Sistrunk operation is performed in which hyoid bone is also removed to ensure the complete thyroglossal tract removal to prevent recurrence.

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