Airway Obstruction from Intralaryngeal Extension of Thyroglossal Duct Cyst in an Elderly Man: A Case Report

Authors

Keywords:

thyroglossal duct cyst, intralaryngeal extension, saccular cyst, airway obstruction

Abstract

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.

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Published

2022-11-15

How to Cite

1.
Contreras G, Lingan M. Airway Obstruction from Intralaryngeal Extension of Thyroglossal Duct Cyst in an Elderly Man: A Case Report. Philipp J Otolaryngol Head Neck Surg [Internet]. 2022 Nov. 15 [cited 2022 Dec. 6];37(2):38. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/2033