Giant thyroglossal duct cyst causing hoarseness due to laryngeal compression in an elderly patient: a case report - Takeaways - MDSpire

Giant thyroglossal duct cyst causing hoarseness due to laryngeal compression in an elderly patient: a case report

  • By

  • Caini Peng

  • Bingyan Hao

  • Aoshuang Chang

  • June 15, 2026

  • 0 min

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  • 1

    Thyroglossal duct cysts (TGDCs) are common congenital neck anomalies, primarily presenting in childhood but rarely in elderly patients.

  • 2

    A 65-year-old man presented with a giant TGDC causing hoarseness due to laryngeal compression, highlighting an unusual clinical scenario.

  • 3

    Preoperative imaging revealed a cystic-solid lesion surrounding the hyoid bone, compressing the adjacent laryngeal cavity.

  • 4

    The patient underwent open excision based on the Sistrunk principle, which includes partial hyoid bone resection.

  • 5

    Postoperative follow-up showed resolution of hoarseness and swallowing symptoms, with no abnormalities noted on laryngoscopy.

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