Keywords: Pediatrics; pediatric airway; airway (non-sleep); congenital neck mass; thyroid; thyroglossal duct cyst EN Pediatrics pediatric airway airway (non-sleep) congenital neck mass thyroid thyroglossal duct cyst 205 208 4 12/16/20 20210101 NES 210101 INTRODUCTION Intralingual thyroglossal duct cyst is a rare presentation of this congenital anomaly, accounting for approximately 0.5% to 2% of cases of thyroglossal duct cysts.1 The most common presentations include airway obstruction and dysphagia.2-5 While the Sistrunk procedure remains the preferred method of excision in cases of cervical thyroglossal duct cyst, several studies have demonstrated the feasibility of transoral endoscopic excision in intralingual thyroglossal duct cyst without significant recurrence rates.5,6 In this article, we comprehensively describe our technique of endoscopic intralingual thyroglossal duct cyst excision. PREOPERATIVE WORK-UP All patients with suspected intralingual thyroglossal duct cyst based on flexible laryngoscopy findings of a submucosal mass in the base of the tongue should undergo cross-sectional imaging in order to further characterize the lesion and confirm the presence of a cervical thyroid gland. Gl GLO:1GR/01jan21:lary28610-fig-0004.jpg PHOTO (COLOR): 4 (A) Resection method using 30o Hopkins rod outside of the Lindholm laryngoscope (LL) with cupped forceps to the right (Cu) and omniguide handpiece (OH) being used for piece-meal resection of the cyst wall.