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Childhood-diseases

Question
Posted by: Jenette | 2004/09/27

Q.

Baby - Thyroid

My son of 6 months was born with a little hole in his neck. I asked my paediatrician about it, and apparently it came about when he was still a foetus and his organs moved into place, and the thyroid did'nt break away properly, i think he called it "branchial tract".They took xrays to see if it was still attached to the thyroid and luckily not but it does excrete clear mucus. My doc did say that they would have to operate to close the duct, which could be done from anytime now. I would really like a second opinion, I just really think he is far too small to have this op. Can this hole be left, can it worsen as he gets older? Please give me your opinion.

Thanking you

Expert's Reply

A.

Paediatrician

We do not always know why these congenital (inborn) abnormalities do occur. Luckily, a brachial tract is rarely associated with any other abnormalities an it is of minor consequence. The main problem is a risk for infection, but the risk is low and excision (surgery) may wait until the baby is slightly older. I would discuss the optimal timing with the surgeon who will do the operation.

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