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Lingual thyroid: tongue-splitting incision for transoral excision

Published online by Cambridge University Press:  29 June 2007

Bishara S. Atiyeh ,
Amir Abdelnour ,
Fadi F. Haddad  and
Hussein Ahmad
Bishara S. Atiyeh*
Affiliation:
Division of Plastic and Reconstructive Surgery, Central Military Hospital of Beirut, Beirut, Lebanon.
Amir Abdelnour
Affiliation:
American University of Beirut Medical Center and the Department of Surgery, Central Military Hospital of Beirut, Beirut, Lebanon.
Fadi F. Haddad
Affiliation:
General Surgery, Central Military Hospital of Beirut, Beirut, Lebanon.
Hussein Ahmad
Affiliation:
Otolaryngology, Central Military Hospital of Beirut, Beirut, Lebanon.
*
Address for correspondence: Dr Bishara S. Atiyeh, Division of Plastic and Reconstructive Surgery, Department of Surgery, American University of Beirut Medical Center, c/o AUB New York Office, 850 Third Avenue, 18th Floor, New York, NY 10022, USA. Fax: (12) 478-1995
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Abstract

Two patients presenting to the Central Military Hospital of Beirut with symptomatic lingual thyroid are reported. I131 thyroid scanning revealed the lingual thyroid to be the only functional thyroid tissue present in each patient. Subsequent CT scanning demonstrated the large size of these ectopic thyroids causing significant mechanical obstruction. These were excised transorally using a posterior midline tonguesplitting incision and reimplanted in the rectus abdominis muscles.

Details of this modified tongue-splitting surgical approach are described. A brief review of the literature concerning lingual thyroid and its surgical treatment is also presented as well as three patients operated on for lingual thyroid at the American University of Beirut Medical Centre between 1975 and 1994 using an external neck incision.

Keywords

Lingual thyroidTransplantation, autologousReimplantation

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 6 , June 1995 , pp. 520 - 524
Copyright
Copyright © JLO (1984) Limited 1995

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References

Alderson, D. J., Lannigan, F. J. (1994) Lingual thyroid presenting after thyroglossal cyst excision. Journal of Laryngology and Otology 108: 341–343.CrossRefGoogle ScholarPubMed
Al-Samarrai, A. Y., Crankson, S. J., Al-Jobori, A. (1988) Autotransplantation of lingual thyroid into the neck. British Journal of Surgery 75: 287.CrossRefGoogle ScholarPubMed
Cancrini, E., Mezzetti, M., Frattarol, F. M., Berardi, A., Bonomolo, F., Reggio, D., Ospedale, S., Carlo Nancy, R. (1987) Lingual thyroid: a case report. Italian Journal of Surgical Sciences 17: 265–268.Google ScholarPubMed
Elprana, D., Mann, J. J., Smalls, A. G. (1984) Lingual thyroid. Case report and review of the literature. Journal of Otolaryngology and Related Specialties 46: 147–152.Google ScholarPubMed
Fish, J., Moore, R. M. (1963) Ectopic thyroid tissue and ectopic thyroid carcinoma. Annals of Surgery 157: 212–222.CrossRefGoogle ScholarPubMed
Gallo, W. J., Ellis, E. III, (1985) Management of a large lingual thyroid in the orthognathic surgery patient. Oral Surgery, Oral Medicine, Oral Pathology 59: 344–348.CrossRefGoogle ScholarPubMed
Gilchrist, G. F (1968) A Survey of Embryology, McGraw-Hill Co., New York, p 313.Google Scholar
Harris, W. E. (1990) Lingual thyroid cyst complicating a foreign body in the oesophagus. Journal of Laryngology and Otology 104: 508–539.CrossRefGoogle ScholarPubMed
Hazarika, P., Murty, P. S., Nooruddine, M. S., Zachariah, J., Rao, N. R. (1988) Lingual thyroid. Ear, Nose and Throat 67: 161–165.Google ScholarPubMed
Hillness, A. D., Black, W. B. (1976) Lingual ectopia of the thyroid gland and autotransplantation. British Journal of Surgery 63: 924–926.CrossRefGoogle Scholar
Kamat, M. R., Kulkarni, J. N., Desai, P. B., Jussawalla, D. J. (1979) Lingual thyroid: a review of 12 cases. British Journal of Surgery 66: 537–539.CrossRefGoogle ScholarPubMed
Kansal, P., Sakati, N., Rifai, A., Woodhouse, N. (1987) Lingual thyroid: diagnosis and treatment. Archives of Internal Medicine 147: 2046–2048.CrossRefGoogle ScholarPubMed
Kaplan, E. L. (1989) Thyroid and parathyroid. In Principles of Surgery. vol. 2. 5th Edition. McGraw-Hill Co., New York, pp 1614–1616.Google Scholar
Roman, P., Bukachevsky, J. D., Casler, J. O., Conley, J. (1991) Squamous cell carcinoma and thyroid gland. Ear, Nose and Throat 70: 505–507.Google Scholar
Steinwald, O. P., Muehcke, R. G., Economou, S. G. (1970) Surgical correction of complete lingual ectopia of the thyroid gland. Surgical Clinics of North America 50: 1177–1186.CrossRefGoogle ScholarPubMed
Volpe, R. (1973) The thyroid. In Systemic Endocrinology. (Ezzin, C., Gooden, J. O., Volpe, R., Widson, R., eds.), Harper and Row, Maryland, pp 55–56.Google Scholar
Ward, G. E., Canterell, J. R., Allan, W. B. (1954) The surgical treatment of lingual thyroid. Annals of Surgery 139: 536–544.CrossRefGoogle ScholarPubMed
Weider, D., Parker, W. (1977) Lingual thyroid. Annals of Otolaryngology 86: 841–848.Google ScholarPubMed
Williams, E. D., Toyn, C. E., Harach, H. R. (1989) The ultimobranchial gland and congenital thyroid abnormalities in man. Journal of Pathology 159: 135–141.CrossRefGoogle ScholarPubMed