Image Based Question-66171

In the management of the condition “marked by a red arrow” in the reconstructed CT scan of the neck as shown in the picture below ?

A. Central portion of hyoid excised.

B. Sternothyroid muscle dissected.

C. Isthmusectomy with subtotal thyroidectomy.

D. Strap muscle of neck are dissected.

Correct Answer » A Explanation

Reconstructed CT scan of the neck as shown in the picture above demonstrates a midline cystic lesion i.e Thyroglossal duct cyst with a slightly enhancing wall.

In the management of thyroglossal cyst, the central portion of hyoid is excised.

Thyroglossal cyst is managed by Sistrunk operation in which the cyst is completely excised along with the thyroglossal tract. Since the thyroglossal tract is intimately related to the hyoid bone, the central portion of the hyoid bone is also removed.