Case report
25-year-old female presented to ENT clinic with discharge from the anterior neck and scar(figure1) over the neck for past 10 years .Patient had history of neck trauma in childhood while playing in the park. She was treated by local clinic symptomatically and developed a neck scar without any other symptoms. Patient developed having discharge from the scar site on and off since last 2 years. On detailed clinical examination found to have small sinus tract with discharge while pressure and on CT Neck showed a short sinus tract extending from this scar coursing superiorly in subcutaneous plane , for 2 cm and ending blindly in close relation to anterior strap muscles(figure 5 & 6) . As per the history ,clinical examination and investigation patient diagnosed as post traumatic neck scar with sinus of neck .since patient having a neck scar, we decided to do multidisciplinary approach with plastic surgery of sinus excision and Z-plasty. Simple excision was carried out and intra operatively found tubular structure extending short of hyoid bone around 5 cm in length(figure 2&3). Wound closed as Z- plasty technique by plastic surgeon(Figure 4) .Histopathology revealed thyroglossal cyst lined by flattened epithelium surrounded by fibrosis.