Thyroglossal duct cyst is the most common congenital anomaly of the neck. It is a midline neck lump that forms from a persistent thyroglossal duct. Clinical presentation is usually in the form of painless, smooth and cystic, fluctuant swelling in the midline of the neck. An infected thyroglossal cyst may present as a tender mass. Associated symptoms are dysphagia, difficulty breathing and fever. Diagnosis is made by history and careful neck examination. It moves upwards with protrusion of the tongue. The Sistrunk procedure is the treatment of choice for thyroglossal duct cysts.
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