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.