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Transposition of a lingual thyroid to the submandibular space using a modified technique

Published online by Cambridge University Press:  23 October 2012

Tingwei Bao
Affiliation:
Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China Faculty of Dentistry, Zhejiang University, Hangzhou, China
Huiming Wang*
Affiliation:
Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China Faculty of Dentistry, Zhejiang University, Hangzhou, China
Dong Wei
Affiliation:
Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China Faculty of Dentistry, Zhejiang University, Hangzhou, China
Di Yu
Affiliation:
Hangzhou Dental Hospital, China
*
Address for correspondence: Dr H Wang, Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China Fax: +86 057187236395 E-mail: wanghm0916@yahoo.com.cn

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.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2012

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