Clinical Presentation of Thyroglossal Cysts and Sinuses

Authors GM Faruquzzaman Assistant Professor, Department of ENT & Head-Neck Surgery, Satkhira Medical College, Satkhira, Bangladesh Md Aminul Haque Junior Consultant, Department of ENT & Head-Neck Surgery, Sher-E-Bangla Medical College Hospital, Barishal, Bangladesh Md Nazmul Islam Junior Consultant, Barishal Sadar Hospital, Barishal, Bangladesh Md Nazrul Islam Junior Consultant, 250 Beded Sadar Hospital, Tangail, Bangladesh Md Kamruzzaman Professor & Head, Department of ENT & Head-Neck Surgery, Khulna Medical College, Khulna, Bangladesh Delwar Hossain Professor, Department of Otolaryngology-Head and Neck Surgery, BSMMU, Dhaka, Bangladesh DOI: https://doi.org/10.3329/bjo.v28i1.60792 Keywords: Thyroglossal cyst, Thyroglossal sinus, Presentation Abstract

Objective: To see the clinical presentation of thyroglossal cysts and sinuses.

Methods: Observational type of Cross sectional study. Department of ENT & Head-Neck Surgery in Sher-E-Bangla Medical College Hospital, Barishal from September 2014 to February 2015. All patients attended in the Department of ENT and Head Neck Surgery in Sher-E-Bangla Medical College Hospital, Serum TSH, USG of thyroid swelling and FNAC were done for diagnoses and for evaluation.

Results: Thyroglossal cysts and sinuses were found in 23(63.9%) and 13(36.1%) cases respectively. The mean age of presentation was found 16.6±11.3 years in cysts group and 15.5±7.2 years in sinus group. Regarding the site of cysts 4(17.4%) cases was suprahyoid, 11(47.8%) infrahyoid and 8(34.8%) at the level of hyoid. Regarding the site of sinus 1(7.7%) case was suprahyoid, 9(69.2%) infrahyoid and 3(23.1%) at the level of hyoid. All the patients had normal thyroid gland in both group, all of them had normal serum TSH level. FNAC was done in all cyst patients and shows normal cystic lesion with no malignancy. But in sinus patients only one FNAC was done and reported as cystic lesion.

Conclusion: Thyroglossal cysts and sinuses were more common in 2nd decade and male predominant. Majority of the cysts are Infrahyoid and on the right side of midline and majority of sinuses are Infrahyoid and on the right side. Development of sinuses is due to operation following abscess formation in majority of cases.

Bangladesh J Otorhinolaryngol 2022; 28(1): 7-15

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Faruquzzaman, G., Haque, M. A. ., Islam, M. N. ., Islam, M. N. ., Kamruzzaman, M. ., & Hossain, D. . (2022). Clinical Presentation of Thyroglossal Cysts and Sinuses. Bangladesh Journal of Otorhinolaryngology, 28(1), 7–15. https://doi.org/10.3329/bjo.v28i1.60792

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