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1 results

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

  • Tingwei Bao, Huiming Wang, Dong Wei, Di Yu
  • Journal:
    The Journal of Laryngology & Otology / Volume 126 / Issue 12 / December 2012
    Published online by Cambridge University Press:
    23 October 2012, pp. 1287-1291
    Print publication:
    December 2012
  • 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.