alexa A Rare Case of a Thyroglossal Duct Cyst in Sublingual and Submental Region Present as Submental Abscess | Open Access Journals
ISSN: 2161-119X
Otolaryngology: Open Access
Like us on:
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

A Rare Case of a Thyroglossal Duct Cyst in Sublingual and Submental Region Present as Submental Abscess

Dnyaneshwar Bharat Ahire1*, Vandana Thorawade1, Mohan Jagade1, Smita Nagle1, Tripti Chopade1, Ram soni1, Shreyas Joshiv1, Rohini Kashide1and Jagdish Puri2

1Department of ENT, SIR JJ Hospital & Government Medical College, Mumbai, India

2Department of Radiology, SIR JJ Hospital & Government Medical College, Mumbai, India

Corresponding Author:
Dr. Dnyaneshwar Bharat Ahire
Resident doctor in ENT
SIR JJ Hospital & Government Medical College, Mumbai, India
E-mail: dnyanahire@gmail.com

Received date: March 09, 2012; Accepted date: April 24, 2012; Published date: May 01, 2012

Citation: Ahire DB, Thorawade V, Jagade M, Nagle S, Chopade T, et al. (2012) A Rare Case of a Thyroglossal Duct Cyst in Sublingual and Submental Region Present as Submental Abscess. Otolaryngology 2:111. doi:10.4172/2161-119X.1000111

Copyright: © 2012 Ahire DB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Otolaryngology: Open Access

Introduction

Thyroglossal duct cyst is the most common congenital anomaly which arises from the remnants of the thyroglossal duct and occurs in 7% of the adult population [1]. It is a fibrous cyst that forms from a persistent thyroglossal duct. The most common locations for a thyroglossal cyst are midline or slightly off midline, between the isthmus of the thyroid and the hyoid bone or just above the hyoid bone. A thyroglossal cyst can develop anywhere along a thyroglossal duct. The presentation of thyroglossal duct cyst on the tongue is quite uncommon [2] and is named Lingual Thyroglossal Duct Cyst (LTDC). Thyroglossal duct cysts most often presents with a palpable asymptomatic midline neck mass below the level of the hyoid bone. Up to half of thyroglossal cysts are not diagnosed until adult life. If left untreated, LTDC may present with life-threatening airway obstruction.

We report a case of 25 years old male with LTDC due to its rare occurrence.

Case Report

A 25 yr old young male presented with swelling in submental region (Figure 1) since 8 months. This swelling was subjected to reduce in size on pressing leading to purulent discharge from foramen caecum. There was no history of dysphagia or odynophagia.

Figure

Figure 1: Swelling in submental region.

Clinical examination

On examination there was 5 x 3 cm size swelling seen in submental region with no localised sign of inflammation. The swelling moved on protrusion of tongue and deglutination.

The swelling was soft in consistency and lead to purulent discharge from foramen caecum on pressing. There were no signs of cervical lymphadenopathy.

Ultrasonography and CT scan were suggestive of 4.4 x 1.8 cm size thyroglossal duct cyst in sublingual region opening into foramen caecum, with no significant lymphadenopathy (Figure 2). Thyroid gland was normal. Thyroid profile of the patient was normal (euthyroid). Pus culture was suggestive of staphylococcal infection.

Figure

Figure 2: CT Scan showing the cyst.

Patient was admitted in the ward and posted for Sistrunk’s surgery. Intra-operatively cyst was found in sublingual and submental space extending up to foramen caecum with a thick band extending to the hyoid bone. We inject the methylene blue dye in to the opening present over the foramen caecum to delineate the tract and whole cyst identified. This cyst was ligated near the foramen caecum.

Excision of entire cyst was done with body of hyoid (Figure 3).

Figure

Figure 3: Excision of cyst with hyoid bone and dissection of thyroglossal duct tract. A segment of hyoid bone has been removed and duct with surrounding tissue is dissected through the muscles of the tongue.

Histopathology report of the specimen was suggestive of thyroglossal duct cyst with no evidence of malignancy.

Discussion

The thyroid gland originates from the foramen cecum present in the floor of the pharyngeal gut on the 17th day of gestation. The gland then descends in front of the pharynx as a bilobed diverticulum which is initially patent. It reaches its final position in the neck by the 7th week of gestation. The duct usually disappears by the 10th week of gestation. Persistence of any portion of this duct could give rise to thyroglossal cyst. Commonly these cysts could contain thyroid tissue, hence I 131 studies should be considered in all patients with suspected ectopic thyroid. In this patient occult malignancy is more likely [3]. Rarely this could be the only functioning thyroid gland tissue.

Thyroglossal duct cysts most often present with a palpable asymptomatic midline neck mass below the level of the hyoid bone. The neck mass moves with swallowing. Some patients will have neck or throat pain, or dysphagia and the spectrum of clinical symptoms may be varied. Diagnosis is usually made clinically [4].

It has been reported that over 7% of adults have some remains of the thyroglossal duct and over 62% of them may have some ectopic thyroid tissue. Most neoplasias in the thyroglossal duct are made up of papillary carcinomas [5].

Antibiotics are indicated if infection is suspected. Definitive surgical management requires excision not only of the cyst but also of the path’s tract and branches.

Conclusion

This is a rare presentation of thyroglossal cyst in an adult patient presented with swelling in submental region.

References

Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Recommended Conferences

Article Usage

  • Total views: 11676
  • [From(publication date):
    June-2012 - May 23, 2017]
  • Breakdown by view type
  • HTML page views : 7925
  • PDF downloads :3751
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

agrifoodaquavet@omicsonline.com

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

clinical_biochem@omicsonline.com

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

business@omicsonline.com

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

chemicaleng_chemistry@omicsonline.com

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

environmentalsci@omicsonline.com

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

engineering@omicsonline.com

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

generalsci_healthcare@omicsonline.com

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

genetics_molbio@omicsonline.com

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

immuno_microbio@omicsonline.com

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

omics@omicsonline.com

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

materialsci@omicsonline.com

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

mathematics_physics@omicsonline.com

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

medical@omicsonline.com

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

neuro_psychology@omicsonline.com

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

pharma@omicsonline.com

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

social_politicalsci@omicsonline.com

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version