A 6-year-old girl presented with a 4-week history of a midline neck mass (see differential diagnosis of neck mass). She was otherwise asymptomatic. The 1-cm mass was smooth, round and moved with swallowing.
Ultrasound showed the mass to be cystic. A normal thyroid gland was present by ultrasound.
The patient was taken to the operating room with a presumptive diagnosis of thyroglossal duct cyst. Nasotracheal intubation was performed in the event the surgeon desired to put a finger in the mouth to facilitate dissection.
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