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Combined cervical and intraoral approach to lingual thyroid: A case report
Author(s) -
Zitsman Jeffrey L.,
Lala Vinod R.,
Rao Prakashchandra M.
Publication year - 1998
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/(sici)1097-0347(199801)20:1<79::aid-hed13>3.0.co;2-k
Subject(s) - medicine , dysphagia , surgery , thyroid , lesion , neck dissection , tongue , head and neck , carcinoma , pathology
Background Lingual thyroid is a rare anomaly that may require surgical intervention. Lesions have been approached either via the neck or transorally. Advantages and limitations exist with each technique. Methods A 10‐year‐old female on long‐term suppression therapy for lingual thyroid developed progressive dysphagia; surgical excision was performed. Suprahyoid pharyngotomy was used to dissect the posterior limits of the tumor. Resection was completed via a transoral approach. Results Cervical exposure allowed safe access to the posterior tumor margins. Transoral exposure permitted direct dissection of the anterior margin of the lesion, rendering complete excision simple. Conclusion A combined surgical approach to lingual thyroid is a safe technique that affords excellent visualization and facilitates resection. © 1998 John Wiley & Sons, Inc. Head Neck 20: 79–82, 1998.