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September 1992

Preoperative Thyroid Scanning in Presumed Thyroglossal Duct Cysts

Author Affiliations

From the Department of Otolaryngology—Head and Neck Surgery, University of Washington, Seattle (Dr Pinczower); Department of Otolaryngology—Head and Neck Surgery (Dr Crockett) and Division of Pediatric Surgery (Dr Atkinson), University of Southern California School of Medicine; and Division of Otolaryngology–Communicative Disorders, Childrens Hospital of Los Angeles (Calif) (Ms Kun).

Arch Otolaryngol Head Neck Surg. 1992;118(9):985-988. doi:10.1001/archotol.1992.01880090101026

• The purpose of this study was to determine if preoperative thyroid scans are essential in the workup of presumed thyroglossal duct cysts. Questionnaires were sent to pediatric otolaryngologists and pediatric general surgeons with a 65% response rate. Fifty-seven percent of the physicians have encountered ectopic thyroid. In 58% of these, this was the only functioning thyroid tissue. Twenty eight percent of pediatric surgeons vs 65% of pediatric otolaryngologists routinely order scans. Two of the physicians encountering ectopic thyroid volunteered that they had successful litigation directed against them for removing the sole functioning thyroid and creating permanent hypothyroidism. There is a likelihood of encountering ectopic thyroid during the course of one's practice. A case of ectopic thyroid is presented, and management strategies are discussed.

(Arch Otolaryngol Head Neck Surg. 1992;118:985-988)

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