J L Zitsman1, V R Lala, P M Rao. 1. Department of Surgery, Lincoln Medical and Mental Health Center, Bronx, New York 10451, USA.
Abstract
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.
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.