CASE SUDY:

THYROGLOSSAL DUCT CYST

Submitted to: Ms. Gladys Cruz

Submitted by: Ms. Nirish Camporedondo
Ms. Joanne Marie Collantes
Ms. Patricia Kyle Dones
Ms. Ma. Theresa Guillen
 INTRODUCTION

A thyroglossal duct cyst is a condition where there is development of neck lump or mass from
the leftover or persistent tissues and cells present after the formation of the thyroid gland.
Thyroglossal duct cyst (TDC) is the most common type of developmental cyst encountered in
the neck region. It is a condition that results from the failure of obliteration of the thyroglossal
duct which forms a bridge between the base of the tongue and the thyroid gland. This
happens during the embryonic (developmental) stage. Thyroglossal duct cyst is often diagnosed
in children who are preschool-aged or in children who are in their mid-adolescence.
Thyroglossal duct cyst commonly appears after an upper respiratory infection after which it
increases in size and causes pain and other symptoms which often leads to its diagnosis.
The thyroglossal duct cysts are the most common congenital neck mass resulting from
remnants of the thyroglossal duct. An incidence of approximately 7% of the population
has been reported for the occurrence of thyroglossal duct cysts and remnants. It has been repo-
rted that one of the underlying reasons for the formation of duct remnants is hereditary. In
general, the signs related to the presence of thyroglossal duct remnants that appear during
childhood can be treated surgically. However, in some cases, the existing thyroglossal duct
remnants may present with atypical symptoms or can stay asymptomatic throughout the life.
Thyroglossal duct cyst typically occurs before 20 years of age and a substantial minority of
patients over 20 at the time of diagnosis. Mean age is 5 years (4 months-70 years). Occurrence
in the elderly is rare and only 28% occur over 50 years and 10% over 60 years. Most patients
present with a symptomless lump in the neck, which rises on swallowing and protrusion of
tongue usually, 1-3 cm in diameter in the midline below the hyoid bone. Infected neck mass is a
common presentation in adults.
The reason why we choose this topic is because it is interesting and we learned much in this
topic because we never handle much of this case in the hospital. We grabbed the opportunity
to handle such case and even though is no certain research that a thyroglossal duct cyst is a
major problem in the Philippines but still it is a major one because it affects most of the
Filipinos and it is also a worldwide problem. We chose this case so that we can also be aware.
So we already learned lots of things about this case like how to prevent this kind of disease
even though not all preventions but somehow it helps. We also learn that in order to prevent
this kind of health problem we must have self-discipline for our health and be careful of what
we eat every day because we didn't know the worst thing that follows and what will happen
next. We all sink it in our minds that "Prevention is better than Cure" and also it includes to the
diseases that is hereditary or familial.
 DEMOGRAPHIC DATA
NAME: G.A.P
AGE:38 years old
DATE OF BIRTH: January 12, 1980
ADDRESS: Claster B. 09 Kapitbahayan Kaunlaran village N.B.B.S
GENDER: female
MARITAL STATUS: Married
NATIONALITY: Filipino
RELIGION; Roman Catholic
EDUCATIONAL ATTAINMENT: Bachelor in Accountancy Graduate 4 year in a public university
OCCUPATION: buy and sell of frozen fish in a public market in Navotas City
SOURCE OF HEALTHCARE: health centers, clinics and Hospitals
ATTENDING PHYSICIAN: Dr. Custudio

NURSING HISTORY:

The patient was admitted on august 31, 2018 at 4:46 in the afternoon with chief
complaint of persistent fever for 5 days, associated with dysuria or painful
urination and taken only paracetamol in their home as stated . All the
laboratory tests needed done. 3 days admitted in the hospital he experienced
knee pain with pricking sensation at Right knee and he was diagnosed with
Rheumaic fever and 4 days admitted in the hospital he experienced also pain at
left popliteal area. He was taken celecoxib drug for his pain.
On september 05,2018 he was doing fine without futher complaints and he was
discharge on that day and he needs to continue his antibiotic(ceftriaxone) and
pain reliever (Celocoxib) for 7 dys

PAST HEALTH HISTORY

IMMUNIZATION :
●complete immunization when he was a child
●did not receive any vaccines when was an adult
CHILDHOOD ILLNESSES:
●measles ,chicken pox and mumps
SURGICAL HISTORY:
●No surgical history.

FAMILY HISTORY:
●His mother had Urinary Tract Infection last 2017
●His Grandmother side of his father was being diagnosed with Hypertension last 15 years and
taken hypertensive drugs such as Losartan and amlodipine.
●His Grandmother side of his mother has Heart disease and taken unrecalled drugs.
SOCIAL HISTORY
TOBACCO: does not smoke
ALCOHOL: does not drink alcohol
SOFTDRINKS: Occasionally such as Royal and coke
COFFEE: he drinks coffee once a day in the morning
PETS: have cats and dogs at home
TRAVEL HISTORY: last April 2018 he Went in Palawan together with his family and they spent
there for 3 days
ALLERGY HISTORY: no history of allergy but his mother is allergy to mefanamic drug and
seafoods.
GORDON'S FUNCTIONAL PATTERN
● HEALTH MANAGEMENT PATTERN
Before admission
>Takes vitamins (Poten-cee once a day)
>Doesn’t have a regular check-up
Admitted in the hospital:
>no multivitamins was being prescribed by the doctor for her
>assessment were done by the doctors

●NUTRITIONAL METABOLIC PATTERN

Before admission:
>He likes to eat salty and fatty foods like (Junk foods, fried foods and street foods)
>She always had appetite
>drinks atleast one liter of water everyday
Admitted in the hospital:
> have the appetite to eat
>drinks plenty of water together with his IVF
●ELIMINATION PATTERN:
Before admission:
>defecates once to twice a day without constipation and brownish to yellowish in color
>urinates 5 to 6 times a day and it is light yellow color
Admitted in the hospital:
> defecates once to twice a day without constipation and brownish to yellowish in color
>he urinates Frequently of yellowish color of urine.
●REST AND SLEEP PATTERN
Before admission:
> he sleeps at 11 or 2 am in the morning and he wake up at 9 am in the morning
> had a nap in the afternoon
Admitted in the hospital:
>had a Good sleep during The night.
>he had a afternoon nap.
●ACTIVITY AND EXERCISE PATTERN
Before admission:
> In the morning he do exercise like walking for 10 mins. Going to his school
>In the Sunday morning he doing exercise like jogging and he likes playing basketball
Admitted in the hospital:
>doing simple exercise like stretching and twisting
●ROLE AND RELATIONSHIP PATTERN
Before admission and admitted in the hospital:
> Youngest among 3 siblings
> an active grade 12 student of NTC
●SEXUAL AND REPRODUCTIVE PATTERN
Before admission and admitted in the hospital:
>grossly male , doesn’t have any sexual contact
●COGNITIVE PATTERN
Before admission and admitted in the hospital:
>No impaired vision
>with good hearing ears
>Alert and Responsive
>answers appropriately to the questions about self
●COPING STRESS PATTERN
Before admission:
"Pag-stressed ako ginagawa ko pupunta ng computer shop para mag-laro” as claimed
Admitted in the hospital:
“Ngayon ginagawa ko na lang tinutulog ko kung kaya makikinig ako ng music” as claimed
●SELF-PERCEPTION PATTERN
Before admission:
“Okay naman yung tuhod ko bago ko ma-admit tsaka on and off talaga yung fever ko”
Admitted in the hospital:
>”Ito masakit yung tuhod ko kumikirot pero kaya naman at sana makauwi na din ako” a claimed
●VALUES AND BELIEFS PATTERN
Before admission and admitted in the hospital
>A baptized Christian
>does not go to church regularly
>Believes in both scientific explanations and superstitious beliefs

PHYSICAL EXAMINATION
A. Vital Signs
 Temperature: 36.1°C
 Cardiac rate: 85 bpm
 Respiratory rate: 20 bpm
 BP: 90/60 mmHg
B. Skin
 Light complexion
 Afebrile, Good skin turgor (of less than one-second)
C. Hair
 With short hair
 Black in color
 No infestations
D. Nails
 Pinkish
 Round in shape
 Without nail polish
E. Head
 Proportional; symmetrical
 Can flex and extend
 No bumps or masses
F. Neck
 Moves from side to side; can rotate freely
 Without palpable lymph nodes
G. Face
 No lesions, with pimples
H. Eyes
 Symmetrical
  Pinkish conjunctiva sac
 Pupils equally rounded and reactive to light
 No discharge and redness of the eye lid. Blurred vision
I. Ears
 No discharge
 With good hearing
J. Nose
 Symmetrical
 No nasal discharge, bleeding and smelling problem
 No nasal flaring noted
K. Lips
 Pinkish
 Moist lips
 No lesions
L. Teeth and Mouth
 Moist buccal mucosa
M. Lungs
 Symmetrical chest expansion
 Clear breath sounds heard upon auscultation of both lung fields 4
N. Abdomen
 Flat and soft
 No masses or tenderness
 Normal active bowel sounds
O. Extremities
 No cyanosis
 Full, equal pulses
 Symmetrical shape and size of limbs
 With Knee pain that he can tolerated
 Color is uniform to the rest of the body

RISK FACTORS
 PATHOPHYSIOLOGY

LABORATORY REPORT
NAME: C.C.S

DATE: 08/31/18

EXAMINATION: URINALYSIS

PHYSICAL SPECIMEN: URINE

COLOR: Light yellow

TRANSPARENCY: HAZY
CHEMICAL RESULT MICROSCOPIC RESULT

BLOOD NEGATIVE PUS CELLS 12-14 /hpf

BILIRUBIN NEGATIVE Red Blood cells 1.3 /hpf

UNBILIRUBIN NORMAL Epithelial Cells RARE

KETONE NEGATIVE Bacteria RARE

GLUCOSE NEGATIVE

PROTEIN NEGATIVE

pH 5.0

NITRATE NEGATIVE

LEUKOCYTES 1+

SPECIFIC

GRAVITY 1.020

NAME: C.C.S

DATE: 08/31/18

TEST RESULT NORMAL

ESR 101 mm/hr 3-13 mm/hr

HEMATOLOGY REPORT
NAME: S.C.C

DATE: 08-31-18

COMPLETE RESULT UNIT REFERENCE

BLOOD COUNT VALUE

HEMOGLOBIN L 11.6 g/dl 13.0-18.0

HEMATOCRIT L 34.6 % 42.0-48.0
RBC COUNT 4.19 10^6/UL 3.8-5.4
MCV 83.1 fL 80.0-97.0
 MCH 27.7 pg 23.0-29.0
MCHC 33.3 g/dl 31.0-35.0
LEUKOCYTE 8.24 10^3/UL 5.0-10.0
COUNT

DIFFERENTIAL

COUNT

SEGMENTERS H 67 % 36.0-66.0
LYMPHOCYTES L 19 % 22.0-40.0
MONOCYTES H 10 % 4.0-5.0
EOSINOPHILES 3 %/ 1.0-4.0
BASOPHILES 1 % 0.0-1.0
PLATELET 399 10^3/UL 150-400
COUNT

CLINICAL CHEMISTRY/ SEROLOGY

NAME: C.C.S

DATE: 09/01/18

TEST RESULT REFERENCE RANGE

ASOTITER <200 IU/mL LESS THAN 200 IU/ml

CLINICAL CHEMISTRY
TEST RESULT REFERENCE RANGE

CRP 150.7 0-10 mg/L

NAME: S.C.C

DATE: 09-03-18

COMPLETE RESULT UNIT REFERENCE

BLOOD COUNT VALUE

HEMOGLOBIN L 12.3 g/dl 13.0-18.0

HEMATOCRIT L 37.6 % 42.0-48.0
RBC COUNT 4.44 10^6/UL 3.8-5.4
MCV 84.7 fL 80.0-97.0
MCH 27.7 pg 23.0-29.0
MCHC 32.7 g/dl 31.0-35.0
LEUKOCYTE 9.49 10^3/UL 5.0-10.0
COUNT

DIFFERENTIAL

COUNT

SEGMENTERS 62 % 36.0-66.0
LYMPHOCYTES 22 % 22.0-40.0
MONOCYTES H9 % 4.0-5.0
EOSINOPHILES H6 %/ 1.0-4.0
BASOPHILES 1 % 0.0-1.0
PLATELET H 517 10^3/UL 150-400
COUNT

MICROBILOGY PRELIMINARY REPORT

NAME: S.C.C

SPECIMEN: BLOOD (ONE SITE-RIGHT ARM)

EXAMINATION DONE:

GRAM STAIN X CULTURE

WITH ARD

AFB SMEAR TRIPLE

SMEAR
 NO GROWTH AFTER 24 HOURS OF INCUBATION

SPECIMEN: URINE

GRAM STAIN X CULTURE

WITH ARD

AFB SMEAR TRIPLE

SMEAR

NO GROWTH AFTER 2 DAYS OF INCUBATION

DRUG STUDY
Doctor's order : Give Cefuroxime 1.5mg IV 1hour prior to OR
Cefuroxime 750mg IV every 8hrs x 2doses
Ketorolac 30mg IV every 6hrs x 4 doses
Date ordered: June 19,2018
A. Cefuroxime
Classification: Antibiotic
Action: Second-generationcephalosporin that inhibits cell-wall synthesis, promotingosmotic
instability; usuallybactericidal.

Side effects: abdominal pain, nausea, diarrhea

Nursing consideration: hypersensitivity
WHY IS IT GIVEN?
● Cefuroxime is given to treat certain infections caused by bacteria, It works by stopping
the growth of bacteria.
B. Ketorolac
Classification: anti- pyretic, NSAID
Action: Anti-inflammatory anti analgesic activity; inhibits prostaglandins and leukotriene synthesis.
Side effects: headache,dizziness,somnolence,insomnia,fatigue,dizzinesstinnitus,
ophthalmologic effects
Nursing Consideration: Be aware that patient may be at risk for CV events, GI bleeding, renal
toxicity, monitor accordingly

WHY IS IT GIVEN?
● Ketorolac is used to relieve moderately severe pain, usually pain that occurs after an
operation or other painful procedure. 
Doctor's order: After last dose of Cefuroxime IV start Cefuroxime 500mg 1tab BID
Once Ketorolac consumed, start Celecoxib 200mg 1cap every 12hrs
Refer accordingly
Date ordered: January 19,2018
A. Celecoxib
Classification: NSAID, Antirheumatic
Action:Exhibits anti-inflammatory , analgesics and anti-pyretic action due to inhibition of the of the
enzyme COX-2
Side effects:Dizziness, drowsiness, headache, Insomia, fatigue, Peripheral edema,
nausea, diarrhea, abd.pain.
Nursing Consideration: Severe hepatic impairment; hypersensitivity to celecoxib;
asthmatic patients with aspirin triad; advanced renal disease; concurrent use of diuretics and
ACE inhibitors.

WHY IS IT GIVEN?
 Given to treat painful rheumatic conditions such as osteoarthritis, rheumatoid arthritis
and ankylosing spondylitis. It eases pain and reduces inflammation.

COURSE IN THE WARD

● Admitted on August 31, 2018 by the Emergency Department; ambulatory
 ● staying in room 214-6

September 3, 2018
F: Acute pain @ Right popliteal area
D:”kanina po sumasakit po yung sa bandang likod ng tuhod ko parang tinutusok” as claimed
with pricking pain sensation at Right popliteal area as claimed, afebrile , skin warm to touch, no
swelling and redness at popliteal area. with ongoing IVF #5D5NM1L x 100 cc/hr at Left brachial
vein. V/S taken as follows: Temp. 36.0 RR: 21 bpm PR: 72 bpm BP: 90/60 02sat 98%
A: Instructed to prevent strenuous activity, taught about simple active range of motion like
arms and legs exercise, Encouraged to increase oral fluid intake, Give medication for pain as
prescribe by the doctor.
R: had no compaints of pain after pain medication was given. Able to rest.
September 06, 2018
F: Activity in tolerance R/T muscle weakness.
D:” Pag-lumalakad ako lalong sumasakit yung tuhod ko tapos ayun kumikirot tsaka parang
tinutusok” as claimed; with pricking pain at left popliteal area; with pain scale of 5/10, 10 is
being the highest; weak in looking; with good skin turgor ; with pinkish conjunctivae ; pinkish
and dry lips noted ; with soft and non-tender abdomen noted. with #6D5NM1LX 12 cc/hr
inserted at left brachial ; vital signs taken as BP: 90/60 PR:80bpm RR: 20 bpm temp: 36.2 and
O2Sat:97% A: Encouraged to do deep breathing exercise ,Offered adequate amount of
fluids Assisted in doing simple active range of motion like arm and legs stretching
, Instructed to prevent strenuous activities, Medication given for pain as prescribed by the
doctor
R: Ito po medyo masakit pa din siguro po 3/10 as stated

SEPTEMBER 5,2018
F: Improved condition
D:” Wala naman po ng sumasakit sakin ganun din po yung sa tuhod ko” as claimed
lying on bed on high back rest position with #7D5NM1LX12 cc/hr; Good skin turgor , skin warm
to touch , with pinkish conjunctivae ; with pinkish and moist lips , with pinkish and moist buccal
mucusa , with symmetrical chest expansion ; with clear breath sounds ; with soft-non tender
abdomen. Full equal pulses ; capillary refil 1-2 secs ; vital signs taken as follows BP: 140/90 PR:
94bpm RR: 19bpm Temp: 36.3 O2sat: 96%
A:Encouraged to verbalize concern; Monitored vital signs; Encourage deep breathing exercises,
maintain on high back rest, instructed on proper positioning; Offered adequate amount of
fluids; health teaching given about proper hygiene; may go home as ordered by Dr. Parillia
discharge instructions of home medications given ; Instructed for follow up check-up. Instructed
not to skip due meds.
R: No further complaints; Sent home in good condition via wheel chair accompanied by his
relatives

NURSING THEORY
Hospitalization is one of the most stressful events that adults can experience. Not only are the
physical surroundings different, but the procedures that patient encounter for the first
time are new. Anxiety, fear, withdrawal, depression, regression and defiance are a few
reactions shown by patients as well as adults, and they can be more severe than their reaction
to illness.

Nurses use various kinds of strategies in reducing discomfort in children. Pölkki T,Vehviläinen-
Julkunen K, Pietilä did survey on use of non pharmacological methods in relieving children's (8-
12-year) postoperative pain on hospital nurses in Finland. The study showed that emotional
support, creating a comfortable environment and assisting with day by day activities were
accounted for to be utilized routinely, though the cognitive-behavioural and physical
techniques incorporated some less much of the time utilized and less surely understood
strategies.

Katherine Kolcaba's theory of comfort explains comfort as a fundamental need of all human
beings for relief, ease, or transcendence arising from health care situations that are stressful.
Comfort can enhance health-seeking behaviors for patients, family members, and nurses. The
major concept within Katharine Kolcaba's theory is the comfort. The other related concepts
include caring, comfort measures, holistic care, health seeking behaviors, institutional integrity,
and intervening variables.

The theory states that nurses identify the holistic comfort needs of patients and their families,
design interventions to address those needs, and account for intervening variables which will
affect desired outcomes. If the interventions are successful, comfort is enhanced, which then
enhances the recipients’ engagement in health seeking behaviors (HSBs). HSBS can be internal,
external, or a peaceful death if that is the most realistic outcome. When patients and/or family
members engage in HSBs, institutional integrity is also enhanced.
Kolcaba's theory successfully addresses the four elements of nursing metaparadigm. Providing
comfort in physical, psychospiritual, social, and environmental aspects in order to reduce
harmful tension is a conceptual assertion of this theory. When nursing interventions are
effective, the outcome of enhanced comfort is attained.
We chose this nursing theory because our patient is postoperative and we as nurses to her, we
provided comfort for her postoperatively. We prayed for her condition and provided the
managements that she deserved. First of all, she should feel at ease to achieve comfort so we
taught her all the interventions that we know on how to control pain and explained the science
behind it.

NURSING CARE PLAN

Date: SEPTEMBER 03, 2018
Subjective: “Ito po masakit tsaka humihilab yung tiyan ko tsaka masakit din yung kaliwang
tuhod ko, parang tinutusok-tusok” as claimed
Objective: Weak in appearance
Good skin turgor noted, skin warm to touch
With Pale conjuctivae noted, with pinkish and dry lips
With guarding behavior
With pricking pain at Left knee ; with pain scale of 4/10, 10 is being the highest
Vital signs taken as follows:
BP:90/60 RR: 2O bpm PR: 85 bpm Temp: 36.7 O2sat: 98%
Nursing Diagnosis: Alteration in comfort r/t pain in abnominal anf Left knee pain
Planning: After the 8 hours of duty, the patient will report satisfactory pain control t at a level
of 2-3 on a scale of 0-10

Interventions:
-Encourage client to verbalize concerns. Active-listen these concernand provides
support by acceptance remaining with client and giving information.
R: Reduction of anxiety and fear can promote relaxation and comfort
-Encourage to do deep breathing exercises
R: To reduce muscle tensions
-Provide comfort measures and repositioning
R: Reduces muscle tension, promotes relaxation and may enhance coping capabilities.
-Encourage use of relaxation techniques
R: Helps client rest more effective and refocuses attention thereby reducing pain
and discomfort.
-Investigate and report abdominal muscle rigidity, involuntary guarding and rebound
tenderness
R: Suggestive of peritoneal inflammation, which requires prompt medical interventions
-Monitor vital signs accordingly
R: As baseline data and to provide proper interventions/ managements for emergency
Evaluation: Goal partially met after 8 hours of duty he had no complaints of pain but he still
weak in looking..

DATE: SEPTEMBER 04, 2018

SUBJECTIVE: “Ayun yung sa likod ng kanang tuhod ko naman yung masakit lalo na pag-
nilalakad ko po kumikirot tsaka parang tinutusok ” as claimed
OBJECTIVES: Weak in appearance, with pain at Right popliteal area,
with pain scale of 4/10; 10 is being the highest ;
with guarding behavior , enable to do ADLs .
DIAGNOSIS: Impaired physical mobility related to muscle weakness
PLANNINNG: At the end of shift the patient will be able to work within the limits of tolerance
for that perfectly measured.
INTERVENTIONS:
-Encourage to do deep breathing exercise
R: To promote comfort and to reduce muscle tension
-Instruct to prevent strenuous activities
R: To gain energy
-Present a safe environment: Bed rails up and important items close by
R: these measures promote a safe and secure environment and may reduce risk for falls
-Assist in doing simple active range of motion like arms and legs stretching
R: Exercise enhances increased venous return, prevents stiffness, and maintains muscle
strength
-Assess and evaluate nutritional status of the client
R: Adequate energy reserves are needed
-Provide the patient of rest periods between activities.
R: Rest period essential to conserve energy
-Give medication as prescribe by the doctor.
R: To reduce pain that impedes movement
EVALUATION:
SEPTEMBER 05, 2018
SUBJECTIVE: “Pabalik balik yung sakit ng tuhod ko , tapos po minsan sa likod ng tuhod ko yung
sumasakit para pong tinutusok” as claimed
OBJECTIVES: with pricking pain sensation at right popliteal area , with pain scale of 5/10; 10 is
being the highest, With guarding behavior, weak in appearance , Afebrile, skin warm to
touch,pale conjunctivae , no swelling and inflammation noted at the site of the pain.
DIAGNOSIS: Acute pain R/T present health condition.
PLANNING: After 8 hours of duty the patient will report satisfactory pain control at a level less
than 2-3 on a scale of 0-10
INTERVENTIONS:
Encourage to do deep breathing exercise
R: To promote relaxation and to reduce pain
Provide rest and relaxation
R: For him to receive less stimuli that will aid in relieving of his pain
-Monitor vital signs accordingly
R: As baseline data and to provide proper interventions/ managements for emergency
-Instructed to take due medication
R: To further it prove his condition and discuss why the doctor had them ordered for him
 EVALUATION: at the end of shift The patient had no complaints of pain.

HEALTH TEACHINGS

Before Operation and After Operation

 You lie on your back.
 You are given anesthesia to make you fall asleep and keep you from feeling pain.
 The surgeon makes a cut (incision) in your neck to reach the cyst.
 The surgeon removes the cyst. He or she also removes any remaining parts of the
thyroglossal duct. If present, any sinus tracts are taken out. These are the abnormal pathways
that connect the cyst to the surface of the skin. The surgeon may also remove abnormal thyroid
tissue. He or she also removes part of the hyoid bone. This small bone is located in your neck
near the thyroid.
 When the surgery is done, the incision is closed with stitches (sutures) or special surgical
glue that holds the skin together.
 Activity: Light activity is advised for 1‐2 weeks after surgery.
 Diet: General diet as tolerated is recommended.
 Medicines: Pain medications are typically prescribed. These are to be taken as
directed. Antibiotics may also be prescribed.
 Bathing: Generally, showering is fine 24 hours after the surgery after the drains are
removed. No bathing or soaking in water is recommended until after the incision is healed.
 Post‐operative follow‐up: Sutures may be dissolvable or may have to be removed a
week after surgery. A post‐ operative follow‐up is typically scheduled for about a week after
surgery. 

REFENCES:
https://en.wikivet.net/Thyroid_Gland_-_Anatomy_%26_Physiology
https://pdfs.semanticscholar.org/26f8/1aad2633790b7e071d00f0efe35d9a0e957a.pd
https://www.epainassist.com/face-mouth-throat/thyroglossal-duct-cyst
http://www.laryngologyandvoice.org/article.asp?issn=2230-
9748;year=2013;volume=3;issue=2;spage=61;epage=63;aulast=ramalingam
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3077189/
http://www.subent.com/pdf/thyroglossal_duct_cyst_consent_2016.pdf
https://www.fairview.org/patient-education/90797
http://www.mims.com/philippines/drug/info/cefuroxime/
https://www.mims.com/philippines/drug/info/ketorolac?mtype=generic
https://www.webmd.com/drugs/2/drug-16851/celecoxib-oral/details