2002 Volume 48 Issue 2 Pages 118-121
We report a case of recurrent thyroglossal duct fistula. The patient was a 14-year-old boy. At the age of 2 years, he had a simple excision of a thyroglossal duct cyst at other hospital. He had the unusual complaint of small amounts of clear mucoid-like material being discharged from a cervical skin sinus after meals. Examination of the cervical region revealed a 50×2mm transverse scar in the upper part of the neck, including a small fistula in the midline. A fine probe was inserted approximately 1 mm into the fistula. Fistulography demonstrated a complete thyroglossal duct through the hyoid bone to the base of the tongue. Thyroglossal duct excision with partial resection of the hyoid bone was performed under local anesthesia. There has been no recurrence as of 7 months after operation. Histological examination revealed ectopic salivary glands and branching tracts in the genioglossus muscle.
