Airway obstruction from intralaryngeal extension of thyroglossal duct cyst in an elderly man: A case report
https://doi.org/10.32412/pjohns.v37i2.2033
- Author:
Gerson S. Contreras
1
;
Milabelle B. Lingan
1
Author Information
1. Jose R. Reyes Memorial Medical Center
- Publication Type:Case Reports
- Keywords:
Intralaryngeal extension;
Saccular cyst
- MeSH:
Thyroglossal Cyst;
Airway Obstruction
- From:
Philippine Journal of Otolaryngology Head and Neck Surgery
2022;37(2):38-41
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To report an unusual presentation of thyroglossal duct cyst causing airway obstruction in an elderly man.
Methods:
Design: Case Report
Setting: Tertiary Government Training Hospital
Patient: One
Results:A 71-year-old man with an anterior neck mass was brought to the Emergency Room due to progressive difficulty of breathing. A smooth, non-ulcerating right supraglottic mass obstructed the airway. Following an emergency high tracheotomy, contrast computed tomography scan of the neck revealed a hypodense mass with peripheral rim enhancement in the right supraglottis and an extralaryngeal component. Intra-operatively, a dumbbell- shaped cystic mass with a tract connected to the hyoid bone led to a Sistrunk procedure. Final histopathology findings were consistent with thyroglossal duct cyst.
Conclusion:It is possible for an elderly patient with impending upper airway obstruction, dysphonia, and neck mass to still have a benign and congenital thyroglossal duct cyst with intralaryngeal extension.
- Full text:Airway Obstruction.pdf