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Transoral robotic resection of lingual thyroid: case report

Published online by Cambridge University Press:  14 October 2013

E H C Teo
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore
S-T Toh*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore
H-N Tay
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore
H-J Han
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore
*
Address for correspondence: Dr Song-Tar Toh, Department of Otolarynology-Head and Neck Surgery, Singapore General Hospital, Outram Road, Singapore 169608 Fax: +65 62262079 E-mail: songtar@gmail.com

Abstract

Objective:

We present a case of large, symptomatic lingual thyroid which was successfully and safely removed via a transoral approach, using the da Vinci robotic system, in an academic medical centre in Singapore.

Case report:

A 17-year-old female adolescent presented with a large lingual thyroid causing upper airway obstruction. She underwent robotic, minimally invasive, transoral resection using the da Vinci system. Post-operative recovery was uneventful; she was able to commence oral feeding almost immediately, and was discharged from hospital on the fourth post-operative day.

Conclusion:

It is surgically feasible and safe to undertake transoral robotic resection of a large lingual thyroid. This approach may allow faster recovery and shorter hospitalisation for patients. Surgical safety requires a full understanding of the intralingual neurovascular anatomy.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2013 

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