Tingwei Bao1, Huiming Wang, Dong Wei, Di Yu. 1. Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Abstract
OBJECTIVE: We report a modified surgical technique for transplanting an ectopic, lingual thyroid to the submandibular space, in order to maintain thyroid function while relieving obstructive symptoms. CASE REPORT: A 52-year-old woman complained of progressive dysphagia and dyspnoea. Ectopic lingual thyroid tissue was diagnosed. The ectopic thyroid gland was transplanted into the submandibular region via a lateral pharyngeal approach. A random muscle pedicle was prepared to provide a vascular supply to the transposed gland. RESULTS: Twelve-month follow up confirmed the survival of the transplanted thyroid gland, with preserved thyroid function. CONCLUSION: Surgical transplantation of a lingual thyroid to the submandibular region offers an alternative treatment method for this anomaly, which avoids the need for resection and lifelong thyroxine replacement.
OBJECTIVE: We report a modified surgical technique for transplanting an ectopic, lingual thyroid to the submandibular space, in order to maintain thyroid function while relieving obstructive symptoms. CASE REPORT: A 52-year-old woman complained of progressive dysphagia and dyspnoea. Ectopic lingual thyroid tissue was diagnosed. The ectopic thyroid gland was transplanted into the submandibular region via a lateral pharyngeal approach. A random muscle pedicle was prepared to provide a vascular supply to the transposed gland. RESULTS: Twelve-month follow up confirmed the survival of the transplanted thyroid gland, with preserved thyroid function. CONCLUSION: Surgical transplantation of a lingual thyroid to the submandibular region offers an alternative treatment method for this anomaly, which avoids the need for resection and lifelong thyroxine replacement.
Authors: Eder Alberto Sigua-Rodriguez; Douglas Rangel Goulart; Luciana Asprino; Afonso Celso de Moraes Manzano Journal: Case Rep Otolaryngol Date: 2015-02-15