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This pre-referral guideline coversÌýmidline neck mass/suspected thyroglossalÌýduct cystÌýin children of all ages.

Initial work-up

• Ultrasound of neck with notation of thyroid gland.
• Thyroid function test if needed.

Pre-referral treatment

• Treat infections
• Observe for fluctuance, erythema and airway distress.

When to refer

• Swelling that does not respond to a course of antibiotics.
• Bring head and neck films.

Referral form (pdf)

Parent handout (pdf)

Resources

Kids Connect (RCH Primary Care Liaison)

Kids Health Info (Parent fact sheets online)

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References

Paediatric Handbook Ear, Nose and Throat Conditions, Chapter 21 (pp312-324); Robert Berkowitz and Michael Marks; Seventh Edition, Blackwell Publishing. By the staff of the Royal Children's Hospital, Melbourne, Australia

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