Presentation
Recurrent discharge from mid line neck region - 6 months. On examination, local bulge with skin redness.
Patient Data
Age: 60 years
Gender: Female
From the case:
Thyroglossal duct sinus
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Site of discharge is located in mid line, below level of hyoid bone.
There is hypoechoic tract like area in subcutaneous plane as well as deep to platysma. It extends cranially towards hyoid bone and probably reaches up to it. Approximate size - 18 x 14 x 5 mm.
There is no cystic area / calcification. There are few flow signals in lesion.
Case Discussion
Surgical exploration was done. Methiline blue was injected in tract, which passed cranial to hyoid bone and to deeper level. Whole length of tract along with hyoid bone were excised.
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