This pre-referral guideline covers midline neck mass/suspected thyroglossal duct cyst in 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)

Contact information

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