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Related Concept Videos

The Thyroid Gland01:23

The Thyroid Gland

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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.
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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Advances in Lingual Thyroid Management Using Coblation Technology: A Case Series Study.

Divya Nayani1, Sampath Kumar Singh1, K V N Durga Prasad1

  • 1Department of Otorhinolaryngology, Government ENT Hospital, Osmania Medical College, Door No.5-1-174, Opposite State Bank of India Head Office, Bank Street Road, Koti, Hyderabad, 500095 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|March 5, 2024
PubMed
Summary

Lingual thyroid, a rare ectopic thyroid tissue, can cause swallowing and breathing difficulties. Coblation-assisted excision offers a minimally invasive surgical solution with good recovery and lifelong thyroxine supplementation.

Keywords:
CoblationLevothyroxineLingual thyroidTechnetium-99 scintigraphy

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Area of Science:

  • Endocrinology
  • Embryology
  • Surgical Technology

Background:

  • Lingual thyroid is a rare congenital anomaly resulting from incomplete descent of the thyroid gland.
  • Ectopic thyroid tissue at the tongue base can lead to significant symptoms like dysphagia and airway obstruction.
  • Management traditionally involves observation or surgery, with varying outcomes.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of coblation technology in managing symptomatic lingual thyroid.
  • To present a prospective study on lingual thyroid cases managed with coblation-assisted excision.

Main Methods:

  • Prospective study of 12 lingual thyroid patients (July 2016-July 2023).
  • Comprehensive assessment including history, blood tests, FNAC, radiology, and Tc-99 scintigraphy.
  • Surgical management using coblation-assisted excision for symptomatic cases.

Main Results:

  • All 12 patients were female, symptomatic (hypothyroid, dysphagia, dyspnea), and underwent coblation-assisted excision.
  • Post-operative follow-up of 2 years showed good recovery and minimal patient discomfort.
  • Lifelong thyroxine supplementation was required for all patients.

Conclusions:

  • Coblation-assisted excision is an effective and minimally invasive treatment for symptomatic lingual thyroid.
  • Early diagnosis and management are crucial for improving patient quality of life.
  • Lifelong hormone replacement is standard for lingual thyroid patients.