Neck fistula and cyst, median Q18.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

medial fistula colli congenita

Definition
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Residuals of the ductus thyreoglossus.

Clinical features
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Outer fistula opening between hyoid bone and larynx, fistula travels through the hyoid bone body to the foramen caecum. Secretion from the external fistula opening. If the opening is stuck together or only part of the duct persists: cyst filled with mucus, bulging, palpable under the skin.

Therapy
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Complete excision of the cyst including cyst wall after scintigraphic exclusion of an ectopic thyroid gland. Mostly resection of the middle part of the hyoid body necessary to avoid recurrence.

Outgoing links (3)

Cyst; Excision; Fistula;

Disclaimer

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Last updated on: 29.10.2020