(Received 23 April 1983; accepted 7 June 1983)
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A 12-mm spherical thyroglossal duct cyst at the base of the tongue caused the death of a four-week-old infant by obstructing the glottis. Previous case reports of this rare entity indicate that the supine position aggravates airway obstruction. Proof of a cause and effect relationship between such a cyst and death is difficult in the sudden infant death syndrome (SIDS) age group because of nonspecific findings associated with asphyxia and SIDS. Autopsy should include a thorough examination of the oral cavity to detect such lesions.
Deputy Medical Examiner, Fulton County, Atlanta, GA
Stock #: JFS11672J