True thyroglossal fistula

Madana, J.; Yolmo, Deeke; Saxena, Sunil; Gopalakrishnan, S.

doi:10.1002/lary.20628

Cited by 23 publications

(28 citation statements)

References 7 publications

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“…The TDC can also rupture spontaneously and manifest as a draining sinus, which is being erringly called a thyroglossal fistula. However, a rare case of complete communication between the neck skin and foramen caecum has been reported [13]. In the present study, two cases of malignancy, two cases of rupture with fistula formation, three cases of inflammation and one case of recurrence was noted.…”

Section: Clinical Features and Managementsupporting

confidence: 47%

Thyroglossal Duct Cyst—More Than Just an Embryological Remnant

Moorthy

Rekha

2010

Indian J Surg

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Thyroglossal duct cyst is a congenital malformation that occurs due to incomplete closure of the thyroglossal duct. Apart from being a quiescent embryological remnant, it presents itself clinically at any age and often requires surgical excision. Twenty four patients were encountered at Sri Ramachandra Medical College and Research Institute between June 2004 and June 2009 with thyroglossal duct cyst. The purpose of the study was to analyse their presentation, associated complications including malignancy and the approach to their management. Operative notes, histopathology files and medical records were used for the retrospective analysis of the patients with thyroglossal duct cyst. Thyroid profile and Radioisotope scan were performed on all the patients to document the position of the thyroid gland. Further, these patients were subjected to Ultrasonography and Computerised Tomography neck to conclusively map the location of the cyst. Fine Needle Aspiration of the tissue was done to diagnose malignancy. It was noted that there was maximum clustering of about 62.5% in males. About 45% of them belonged to the paediatric age group. The total number of symptomatic patients was about 59%. Unlike the various studies in literature, most of the thyroglossal duct cyst patients at our hospital were symptomatic. The symptoms were pain, dyspnoea, dysphagia, discharge and recurrence. Malignancy was diagnosed in two patients who were ironically asymptomatic. Other complications were looked into and treated. Thyroglossal duct cyst is a cervical anomaly that is usually found as an asymptomatic painless cystic swelling. However, most of our patients had a symptomatic presentation. Association with malignancy was noted. Surgical intervention was the cure for all the patients.

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Section: Clinical Features and Managementsupporting

confidence: 47%

Thyroglossal Duct Cyst—More Than Just an Embryological Remnant

Moorthy

Rekha

2010

Indian J Surg

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“…[9] Occasionally, a branchial anomaly may be a part of branchiootorenal (BOR) syndrome, which is defined with branchial arch anomalies, hearing loss and renal malformations. This genetic syndrome with autosomal dominant transmission has first been described by Melnick et al and Fraser et al [10,11] We had no BOR syndromic patients in this study, but BOR should be kept in mind for the patients with branchial fistulas that can be associated with external ear anomalies and/or a history of hearing loss and similar findings in other family members.…”

Section: Discussionmentioning

confidence: 53%

Head and neck fistulas of congenital or infectious etiology: retrospective analysis of 23 cases

Arslan¹,

Çobanoğlu²,

Ural³

2017

ENT Updates

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“…While both congenital and neoplastic entities may present with cystic neck lesions, thyroglossal duct cyst is the most common congenital cystic lesion occurring in the central neck [13,14]. Well-defined complications of thyroglossal duct cysts include rupture, infection, fistula formation and transformation to malignancy [14,15]. We describe here a unique case of ruptured thyroglossal duct cyst leading to XGI.…”

Section: Introductionmentioning

confidence: 92%

Thyroglossal Duct Cyst Associated with Xanthogranulomatous Inflammation

Taşkin

Güçer

Winer

et al. 2015

Head and Neck Pathol

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Xanthogranulomatous inflammation (XGI) is an uncommon destructive chronic inflammatory process mainly occurring in the kidney and gallbladder, characterized by the accumulation of foamy histiocytes, multinucleated giant cells (Touton type), cholesterol clefts and chronic inflammatory cells. The head and neck region is an uncommon site for XGI. This type of inflammatory reaction has been defined in branchial cleft cyst, salivary gland tumors following fine-needle aspiration biopsies, Rathke's cleft cyst in the pituitary gland, and colloid cyst in the 3rd ventricle. We present herein a unique case of ruptured thyroglossal duct cyst leading to XGI, characterized by an infiltrative subcutaneous central neck lesion, clinically mimicking a thyroid carcinoma. In addition, we also summarize current insights into the pathogenesis of XGI in the head and neck region.

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True thyroglossal fistula

Cited by 23 publications

References 7 publications

Thyroglossal Duct Cyst—More Than Just an Embryological Remnant

Thyroglossal Duct Cyst—More Than Just an Embryological Remnant

Head and neck fistulas of congenital or infectious etiology: retrospective analysis of 23 cases

Thyroglossal Duct Cyst Associated with Xanthogranulomatous Inflammation

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