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Lingual thyroid: a new surgical approach--a case report
E Vairaktaris1, T Semergidis, P Christopoulou
1Oral and Maxillofacial Surgery Clinic, Dental Faculty, University of Athens, Greece.
Summary
Ectopic lingual thyroid, a rare condition, can cause breathing and swallowing difficulties. A novel peroral surgical technique via mandibular osteotomy successfully treated a patient with this rare thyroid anomaly.
Area of Science:
- Endocrinology
- Surgical Oncology
- Developmental Biology
Background:
- Ectopic lingual thyroid is a rare congenital anomaly.
- It can lead to significant obstructive symptoms affecting respiration, deglutition, and speech in adults.
Observation:
- A 25-year-old female presented with dyspnea and dysphagia.
- Imaging revealed a 3 x 4 cm ectopic lingual thyroid causing the obstruction.
Findings:
- The ectopic lingual thyroid was successfully excised using an original peroral approach.
- This technique involved a mandibular midline osteotomy, offering a minimally invasive solution.
Implications:
- This case highlights a viable surgical option for managing lingual thyroidectomies.
- The described peroral technique may minimize morbidity associated with traditional surgical approaches.
- Accurate diagnosis and tailored surgical intervention are crucial for restoring function and managing ectopic thyroid tissue.