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True thyroglossal fistula

Authors

  • J. Madana MS, DNB,

    Corresponding author
    1. Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
    • Senior Resident, Department of Otorhinolaryngology, JIPMER, Pondicherry 605006, India
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  • Deeke Yolmo MS,

    1. Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
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  • Sunil Kumar Saxena MS,

    1. Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
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  • S. Gopalakrishnan MS

    1. Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
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Abstract

Thyroglossal duct anomalies are the most common malformations in the neck and constitute 70% of all the congenital cervical masses. They are more common in the pediatric population under 5 years of age, and 60% of lesions are diagnosed before the age of 20. They represent remnants from the embryological migration of thyroid tissue from foramen caecum to the thyroid fossa. The thyroglossal duct cyst may rupture spontaneously and present as a draining sinus, which has been erroneously called a thyroglossal fistula, although communication with foramen caecum is extremely rare. We hereby present a case of true thyroglossal fistula in a 21-year-old male with a fistulous communication between the neck skin and foramen caecum. Laryngoscope, 2009

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