Medial Cervical Cysts at the Paediatric ENT Clinic in Brno in 1990-1999

Overview

S u m m a r y:
Medial cysts are the most frequent inborn cervical anomaly in childhood. They developin some subjects in the thyroglossal duct unless the latter is obliterated during embryonic life.Assessment of a correct diagnosis involves in the first place examination of the neck and usually isnot associated with major difficulties. Treatment is surgical and must be always preceded byexamination of the thyroid gland.At the Paediatric ENT Clinic in Brno during 1990-1999 90 patients age 9 months to 15 years (meanage 6.1 years) were operated with the diagnosis of a medial cervical cyst. Treatment involved in allinstances excision of the cysts with resection of the body of the hyoid bone according to Sistrunk.Surgical revision was called for in nine patients (10%). These results are compared with hithertopublished results of other authors.

Key words:
thyroglossal duct, medial cysts, diagnosis, thyroid gland.