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Related Concept Videos

The Thyroid Gland01:23

The Thyroid Gland

The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...

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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Coblation assisted excision of lingual thyroid.

Sohrab Rabiei1, Mehrali Rahimi, Ali Ebrahimi

  • 1Department of ENT (Otolaryngology), Imam Hospital, Kermanshah, Iran.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed
Summary

Symptomatic lingual thyroid (LT) was surgically treated using a novel transoral coblation-assisted excision. This minimally invasive technique offers a superior alternative to traditional surgical methods for ectopic thyroid tissue.

Keywords:
CoblationLingual thyroidTransoral excision

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Area of Science:

  • Otolaryngology
  • Endocrinology
  • Surgical Innovation

Background:

  • Lingual thyroid (LT) is the most common ectopic thyroid gland location.
  • Symptomatic LT can cause significant patient morbidity.
  • Existing surgical approaches often involve extensive tissue dissection and prolonged recovery.

Purpose of the Study:

  • To report on five cases of symptomatic lingual thyroid.
  • To evaluate a new transoral surgical approach for LT excision.
  • To compare the efficacy and outcomes of this novel technique with conventional methods.

Main Methods:

  • Five patients with symptomatic lingual thyroid underwent surgical excision.
  • A transoral approach utilizing coblation-assisted technology was employed.
  • Postoperative management mirrored standard tonsillectomy protocols, avoiding tracheotomy.

Main Results:

  • Successful excision of lingual thyroid tissue was achieved in all five cases.
  • The transoral coblation-assisted approach demonstrated favorable outcomes.
  • Patients experienced a recovery comparable to tonsillectomy, without the need for tracheotomy.

Conclusions:

  • Transoral coblation-assisted excision is a safe and effective minimally invasive surgical option for symptomatic lingual thyroid.
  • This technique appears to offer advantages over traditional surgical methods, including reduced morbidity and simpler postoperative care.
  • Further research is warranted to solidify its position as a preferred treatment modality.