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Picture of the Month

Forest G. Moyer, MD; Murray Feingold, MD
Am J Dis Child. 1987;141(3):317-318. doi:10.1001/archpedi.1987.04460030095033.
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The statements listed below are best associated with which of the above figures:

  • Aberrant thyroid tissue may be present.

  • Facial asymmetry occurs if this condition is not treated.

  • An associated physical finding is edema over the manubrium and upper chest wall.

Denouement and Discussion  Fig 1.—Redness and swelling at opening of Stensen's duct in patient with mumps.Fig 2.—Thyroglossal fistula present in midline of neck.Fig 3.—Congenital torticollis (left and right) associated with shortening or contracture of right sternocleidomastoid muscle. Firm mass is present in midportion of muscle.(a) Thyroglossal fistulas (Fig 2) and cysts may contain aberrant thyroid tissue, which must be looked for when these lesions are excised. The fistulas are present in the midline of the neck and extend from the skin to the base of the tongue.(b) Congenital torticollis (Fig 3, left and right) that is not corrected may result in facial


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