THYROGLOSSAL FISTULA

Highlights :

THYROGLOSSAL FISTULA

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Friday, 11 December 2009 08:41

THYROGLOSSAL FISTULA

Aetiology:
On top of thyroglossal cyst due to incomplete removal of the cyst with its tract .Never congenital always complication of infra hyoid thyroglossal cyst.
Clinical Picture:
· Fistula gives serous or purulent discharge.
· In the middle line or slightly to the left.
·

Cresentic fold

Moves up and down with deglutition.
· Moves up with protrusion of the tongue with formation of cresentic skin fold with the convexity downward " Spot diagnosis ".
· The tract connecting it to the base of the tongue can be felt .
Treatment:" Sistrunk operation "
· Fistulectomy with dissection of the tract till the Foramen caecum.
· We resect : Middle 1/3 of the hyoid bone.
· A wedge of base of the tongue to reach the foramen caecum
· If the fistula was low in the neck multiple transverse incisions may be done till reach the base of the tongue.
SOURCE: Prof. AYMAN SALEM'S BOOK
Copyright: (Vascular Society of Egypt ) & (Medical Educational web)
Not to be reproduced without permission of Vascular Society of Egypt

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