Images in clinical medicine | Volume 38, Article 329, 06 Apr 2021 | 10.11604/pamj.2021.38.329.23259

Recurrence of thyroglossal cyst: on the tongue!

Vanesa Villamil, Nery Alfredo Méndez Aguirre

Corresponding author: Vanesa Villamil, Pediatric Surgery Service, Sant Joan de Déu Children's Hospital, Barcelona, Spain

Received: 02 May 2020 - Accepted: 05 May 2020 - Published: 06 Apr 2021

Domain: Pediatrics (general),Otolaryngology (ENT),Pediatric surgery

Keywords: Thyroglossal duct cyst, tongue disease, recurrence, children

©Vanesa Villamil et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Vanesa Villamil et al. Recurrence of thyroglossal cyst: on the tongue!. Pan African Medical Journal. 2021;38:329. [doi: 10.11604/pamj.2021.38.329.23259]

Available online at: https://www.panafrican-med-journal.com/content/article/38/329/full

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Images in clinical medicine

Recurrence of thyroglossal cyst: on the tongue!

Recurrence of thyroglossal cyst: on the tongue!

Vanesa Villamil1,&, Nery Alfredo Méndez Aguirre2

 

1Pediatric Surgery Service, Sant Joan de Déu Children´s Hospital, Barcelona, Spain, 2Pediatric Surgery Service, University Clinical Hospital Virgen de la Arrixaca, Murcia, Spain

 

 

&Corresponding author
Vanesa Villamil, Pediatric Surgery Service, Sant Joan de Déu Children´s Hospital, Barcelona, Spain

 

 

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Thyroglossal duct cysts (TDC) are the most common congenital cervical abnormality. On the other hand, lingual TDC are rare, comprising between 0.6% -3% of all TDC. We present the case of a patient with recurrence of the TDC, at the base of the tongue. Five-year-old patient with TDC was admitted on a scheduled basis to excise it. Exeresis of the cyst was performed using the Sistrunk technique. Postoperative elapsed without incidents, being discharge on the 3rd postoperative day. Three years after surgery, the patient returned for dysphagia and the appearance of a tumour on the base of the tongue (A). Cervical ultrasound was performed, showing a suprahyoid cystic structure, adjacent to the posterior third of the tongue, dependent on the blind foramen, compatible with lingual TCD (B). The patient underwent an intraoral approach, allowing complete removal of the cyst. Pathological anatomy confirmed the suspicion of TCD. TCD form anywhere from the blind foramen of the tongue to the base of the neck. Sixty one percent of the cysts are located between the thyroid gland and the hyoid bone and 1-2% are intralingua. Cases of transoral exeresis and using the Sistrunk technique are reported. We performed the first one, since the patient had already undergone cervical surgery. The exploration of the oral cavity in these patients is essential, since, as we have seen and learned in this case, there may be a recurrence or extension of the cyst to the blind foramen of the tongue.

 

Figure 1: A) tumour in the posterior base of the tongue, compatible with lingual TCD; B) ultrasonographic appearance of the lesion, adjacent to the blind foramen of the tongue

 

 

 

 

Images in clinical medicine

Recurrence of thyroglossal cyst: on the tongue!

Images in clinical medicine

Recurrence of thyroglossal cyst: on the tongue!

Images in clinical medicine

Recurrence of thyroglossal cyst: on the tongue!

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Key words

Thyroglossal duct cyst

Tongue disease

Recurrence

Children

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