Visweswara Rao Suraneni1, Ayyappa Amara

Thyroglossal cysts are the most common cause of congenital cyst formation in the neck that may present at any age. Classically, it presents as an anterior midline neck swelling that moves with deglutition and protrusion of the tongue. Occasionally, thyroglossal cyst present clinically in atypical manner, which may pose a diagnostic challenge.
Patients came to outpatient department with anterior neck swellings of the neck during the period from June 2014 till May 2015 were included in this study. Swellings of the thyroid gland are excluded.
A total of 10 patients were included in the study. All patients were found to be adults in our study out of them 8 were males (80%) and 2 were females (20%). The site of the cyst was infrahyoid in 9 cases and 1 case showed suprahyoid (Figure 6). Clinically, 8 cases (80%) showed classical midline cystic presentation and in two cases (20%) the cysts were presented in lateral neck up to the level of sternocleidomastoid muscle and movement with deglutition and protrusion of tongue was not appreciated. In these two cases, fine needle aspiration and ultrasound were inconclusive. In all patients, Sistrunk’s operation was performed. Histopathological report in these two cases reported as thyroglossal cyst.
In all lateral presentations of cystic swellings of the neck and absence of mobility during deglutition and tongue protrusion - cannot exclude a diagnosis of thyroglossal cyst. In all the cases, Sistrunk’s operation was performed and no recurrence was observed.