Abstract
The evaluation of cysts on the neck requires an appreciation of the embryological development of this region. Differentiating thryoglossal duct cysts from branchial and bronchogenic cysts is based predominantly on clinical criteria; increasingly, however, imaging studies are being utilized in evaluating these lesions. Although thyroglos-sal duct cysts are characteristically observed in the pediatric population, they may also present in adults as infected cysts, sinus tracts, or rarely as malignancies. It is essential that clinicians be certain that these cysts are distinguished from ectopic thyroid tissue, which on occasion may be the only functioning thyroid tissue present. Knowledge of the presentation, complications, and issues regarding surgical excision of these lesions is essential for endocrinologists, dermatologists, and head and neck surgeons.
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