THE CERVICAL midline position of a thyroglossal cyst or duct is accepted as the rule.3 Rare exceptions have been reported, however, where thyroglossal cysts were found either in a slightly lateral position or in the base of the tongue.1,2 Airway obstruction or dysphagia is usually found in the lingual thyroglossal cysts only. The presence of a retropharyngeal abscess leading to acute respiratory distress and dysphagia, secondary to an infected lateral thyroglossal cyst in an infant, appeared unique to us and we have been unable to find another case report in the literature.
Report of a Case
A 2-week-old Negro girl was admitted to the Pediatric Surgical Service with the chief complaint of acute respiratory distress and dysphagia. The child was the product of a full-term pregnancy with normal delivery. When the infant was 1 week of age, the mother noticed a mass in the left anterior neck and